Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.90 / $36.31	Facility		$30.20	$30.90	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.20 / $34.67	Professional		$18.20	$30.20	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $42.66	Professional		$28.84	$28.84	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $33.88	Professional		$28.84	$28.84	$33.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $33.88 / $44.67	Facility		$30.20	$33.88	$44.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.90 / $34.67	Professional		$19.05	$30.90	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $81.28	Professional		$35.48	$35.48	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $33.88 / $44.67	Facility		$28.18	$33.88	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.62 / $29.51	Professional		$18.20	$18.62	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $36.31 / $42.66	Facility		$26.30	$36.31	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $53.70	Professional		$21.38	$34.67	$53.70