Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $38.70 / $63.61	Facility		$27.11	$38.70	$63.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $37.09 / $49.43	Professional		$27.84	$37.09	$49.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $51.39	Professional		$20.00	$20.00	$51.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.92 / $103.19 / $193.40	Facility		$44.92	$103.19	$193.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $37.11 / $49.42	Professional		$27.57	$37.11	$49.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $51.55 / $51.55	Professional		$51.55	$51.55	$51.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $33.33 / $52.74	Facility		$31.08	$33.33	$52.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $46.40 / $75.42	Professional		$32.44	$46.40	$75.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $160.47 / $174.80 / $174.80	Facility		$160.47	$174.80	$174.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $218.48 / $218.48 / $298.80	Professional		$218.48	$218.48	$298.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $38.70 / $55.81	Facility		$28.67	$38.70	$55.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $58.03 / $83.26	Professional		$37.72	$58.03	$83.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $41.34 / $60.89	Professional		$41.34	$41.34	$60.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.64 / $38.61 / $55.47	Facility		$28.64	$38.61	$55.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $48.25 / $76.97	Professional		$33.03	$48.25	$76.97
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $51.62 / $75.59	Professional		$37.90	$51.62	$75.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $48.93 / $68.50	Professional		$43.07	$48.93	$68.50