Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $33.61 / $36.31	Facility		$27.49	$33.61	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $33.61 / $45.24	Professional		$24.33	$33.61	$45.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $38.70 / $55.29	Professional		$27.65	$38.70	$55.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $60.71 / $145.16	Facility		$38.79	$60.71	$145.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $26.25 / $26.25	Professional		$26.25	$26.25	$26.25
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $35.84 / $37.40 / $40.61	Facility		$35.84	$37.40	$40.61
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $34.79 / $35.84	Professional		$34.79	$34.79	$35.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $44.83 / $44.83	Facility		$44.83	$44.83	$44.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $33.75 / $55.82	Facility		$33.75	$33.75	$55.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Professional		$28.69	$28.69	$28.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $227.17 / $227.17	Facility		$85.00	$227.17	$227.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $241.29 / $247.73 / $358.35	Professional		$241.29	$247.73	$358.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.07 / $47.19 / $74.63	Facility		$34.07	$47.19	$74.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $45.39 / $47.78	Professional		$40.61	$45.39	$47.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,640.54 / $2,248.54 / $3,520.13	Facility		$1,640.54	$2,248.54	$3,520.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $81.00 / $102.10	Professional		$20.50	$81.00	$102.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.84 / $47.78 / $76.56	Facility		$35.84	$47.78	$76.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $44.59	Professional		$28.69	$28.69	$44.59
United Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $26.54 / $39.72	Professional		$21.07	$26.54	$39.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $47.78 / $64.50	Professional		$26.10	$47.78	$64.50