Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $26.31 / $26.31	Professional		$26.31	$26.31	$26.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Professional		$86.00	$86.00	$86.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $22.68 / $27.00	Facility		$19.98	$22.68	$27.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $110.00	Facility		$90.00	$90.00	$110.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $127.00	Facility		$100.00	$100.00	$127.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $145.26 / $145.26	Professional		$100.00	$145.26	$145.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $120.00 / $26,642.91	Facility		$65.00	$120.00	$26,642.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $75.00 / $75.00	Facility		$26.31	$75.00	$75.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $130.00 / $130.00	Facility		$130.00	$130.00	$130.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $75.00 / $75.00	Facility		$26.31	$75.00	$75.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $145.26 / $145.26	Professional		$100.00	$145.26	$145.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $7.25	Professional		$7.25	$7.25	$7.25