Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $17.48 / $18.88	Facility		$14.12	$17.48	$18.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $17.48 / $23.31	Professional		$12.22	$17.48	$23.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $28.41	Professional		$4.50	$4.50	$28.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $31.66 / $76.08	Facility		$20.17	$31.66	$76.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $18.89 / $18.89	Professional		$18.89	$18.89	$18.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.95 / $17.95 / $17.95	Facility		$17.95	$17.95	$17.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.75 / $17.75 / $29.35	Facility		$17.75	$17.75	$29.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Professional		$15.09	$15.09	$15.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $51.14 / $120.00 / $120.00	Facility		$51.14	$120.00	$120.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $127.35 / $188.93	Professional		$125.45	$127.35	$188.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.72 / $23.78 / $38.58	Facility		$17.72	$23.78	$38.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $23.93 / $25.19	Professional		$21.41	$23.93	$25.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $735.81 / $1,271.76 / $1,653.29	Facility		$735.81	$1,271.76	$1,653.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $39.20 / $52.40	Professional		$23.50	$39.20	$52.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $24.32 / $38.58	Facility		$18.23	$24.32	$38.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $23.20	Professional		$15.09	$15.09	$23.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.33 / $19.23	Professional		$10.96	$13.33	$19.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $25.19 / $34.01	Professional		$13.76	$25.19	$34.01