Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.02 / $24.55	Facility		$10.00	$12.02	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $33.11	Professional		$10.00	$14.13	$33.11
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.38 / $25.12 / $44.67	Professional	25	$21.38	$25.12	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $21.38	Professional		$12.59	$15.14	$21.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.18 / $30.90	Facility		$8.32	$13.18	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $15.49	Professional		$10.23	$12.88	$15.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.60 / $25.70	Professional		$12.30	$16.60	$25.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $14.79 / $15.49	Facility		$10.96	$14.79	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.20 / $30.90	Professional		$13.18	$18.20	$30.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.79 / $25.12	Facility		$10.47	$14.79	$25.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $26.92	Professional		$10.00	$12.88	$26.92
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $21.38 / $25.12 / $44.67	Professional	25	$21.38	$25.12	$44.67
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 $11.75 / $23.44 / $41.69	Professional		$11.75	$23.44	$41.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.79 / $24.55	Facility		$10.47	$14.79	$24.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $33.88	Professional		$13.18	$18.62	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $20.42	Facility		$17.78	$17.78	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.14 / $23.44	Professional		$11.22	$15.14	$23.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $16.98	Professional		$10.47	$15.14	$16.98