Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $131.83 / $380.19	Facility		$39.81	$131.83	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $42.66 / $66.07	Professional		$20.89	$42.66	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $104.71 / $204.17	Facility		$38.02	$104.71	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $51.29 / $51.29	Professional		$45.71	$51.29	$51.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $77.62 / $120.23	Facility		$56.23	$77.62	$120.23
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $93.33	Professional		$57.54	$69.18	$93.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $87.10 / $87.10	Facility		$58.88	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Facility		$54.95	$64.57	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.90 / $70.79	Professional		$19.95	$38.90	$70.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $512.86	Professional		$407.38	$512.86	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $53.70 / $95.50	Facility		$27.54	$53.70	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $48.98 / $109.65	Professional		$28.84	$48.98	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $120.23	Professional		$57.54	$66.07	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $45.71 / $83.18	Facility		$26.30	$45.71	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $39.81 / $74.13	Professional		$19.95	$39.81	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $67.61	Facility		$48.98	$48.98	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $51.29	Professional		$23.44	$37.15	$51.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $58.88 / $60.26	Professional		$22.91	$58.88	$60.26