Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Facility		$42.00	$42.00	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Professional		$42.00	$42.00	$42.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $40.07	Professional		$26.71	$26.71	$40.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $36.95 / $36.95	Professional		$36.95	$36.95	$36.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $40.07 / $40.07	Professional		$40.07	$40.07	$40.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $46.76 / $62.23	Facility		$46.76	$46.76	$62.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $39.75 / $39.75	Professional		$39.75	$39.75	$39.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $250.01 / $253.75	Facility		$89.75	$250.01	$253.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $266.02 / $266.02 / $400.65	Professional		$266.02	$266.02	$400.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $53.42 / $89.04	Facility		$42.00	$53.42	$89.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $50.75 / $53.42	Professional		$45.41	$50.75	$53.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $53.42 / $123.44	Professional		$48.08	$53.42	$123.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $53.42 / $89.04	Facility		$42.00	$53.42	$89.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $39.75 / $51.86	Professional		$39.75	$39.75	$51.86
United Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $31.12 / $51.86	Professional		$25.93	$31.12	$51.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $53.42 / $72.12	Professional		$53.42	$53.42	$72.12