Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.70 / $36.79 / $54.10	Facility		$29.70	$36.79	$54.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $45.39 / $65.33	Professional		$36.10	$45.39	$65.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $38.53 / $38.53	Professional		$38.53	$38.53	$38.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.39 / $105.43 / $208.32	Facility		$46.39	$105.43	$208.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $45.65 / $64.56	Professional		$34.75	$45.65	$64.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $55.72 / $55.72	Professional		$55.72	$55.72	$55.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $65.28 / $65.28	Facility		$34.04	$65.28	$65.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.33 / $105.93 / $572.00	Facility		$39.33	$105.93	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $59.34 / $97.21	Professional		$40.61	$59.34	$97.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $188.10 / $188.10	Facility		$174.10	$188.10	$188.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $392.55 / $477.31	Professional		$302.00	$392.55	$477.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $48.74 / $83.71	Facility		$36.65	$48.74	$83.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $69.19 / $109.74	Professional		$47.43	$69.19	$109.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $50.25 / $78.89	Professional		$37.44	$50.25	$78.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.71 / $48.84 / $84.30	Facility		$36.71	$48.84	$84.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $64.20 / $112.54	Professional		$42.21	$64.20	$112.54
United Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $57.09 / $88.35	Professional		$41.58	$57.09	$88.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $46.30 / $62.68	Professional		$39.47	$46.30	$62.68