Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $79.43	Facility		$30.90	$30.90	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $33.11	Professional		$16.98	$22.91	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $38.90	Professional		$23.99	$32.36	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.12 / $27.54	Professional		$23.44	$25.12	$27.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $56.23	Professional		$19.05	$37.15	$56.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $32.36 / $33.11	Facility		$26.30	$32.36	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $269.15	Professional		$186.21	$269.15	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $25.70 / $41.69	Facility		$17.38	$25.70	$41.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $44.67	Professional		$15.85	$22.91	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $64.57	Professional		$38.90	$50.12	$64.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.70 / $40.74	Facility		$17.78	$25.70	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $60.26	Professional		$27.54	$27.54	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $43.65	Professional		$19.95	$26.92	$43.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $41.69	Professional		$25.12	$34.67	$41.69