Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $204.17 / $588.84	Facility		$30.90	$204.17	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $56.23 / $112.20	Professional		$21.88	$56.23	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $67.61	Professional		$30.90	$58.88	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $63.10 / $125.89	Facility		$33.11	$63.10	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $43.65 / $81.28	Professional		$20.42	$43.65	$81.28
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $74.13 / $1,698.24	Facility		$24.55	$74.13	$1,698.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $112.20	Professional		$22.91	$33.88	$112.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $22.39 / $79.43	Facility		$20.89	$22.39	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $61.66 / $117.49	Professional		$23.99	$61.66	$117.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $478.63 / $478.63	Facility		$186.21	$478.63	$478.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $501.19	Professional		$478.63	$501.19	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $63.10 / $141.25	Facility		$24.55	$63.10	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $56.23 / $112.20	Professional		$21.88	$56.23	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $52.48 / $125.89	Professional		$21.88	$52.48	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $56.23 / $109.65	Facility		$22.91	$56.23	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $60.26 / $120.23	Professional		$23.99	$60.26	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $53.70 / $112.20	Professional		$21.88	$53.70	$112.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $61.66 / $61.66	Professional		$60.26	$61.66	$61.66