Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $61.06 / $12,581.64	Facility		$31.09	$61.06	$12,581.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $31.40 / $42.83	Professional		$31.08	$31.40	$42.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.61 / $274.89 / $548.48	Facility		$108.61	$274.89	$548.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $37.43 / $37.43	Professional		$37.43	$37.43	$37.43
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $47.31 / $13,034.20	Facility		$31.09	$47.31	$13,034.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $47.31 / $85.21	Professional		$31.09	$47.31	$85.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,743.44 / $1,743.44 / $1,743.44	Facility		$1,743.44	$1,743.44	$1,743.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $31.09 / $31.09	Facility		$29.33	$31.09	$31.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $31.09	Professional		$31.09	$31.09	$31.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,272.31 / $3,272.31	Facility		$100.00	$3,272.31	$3,272.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $44.90 / $70.81	Facility		$31.18	$44.90	$70.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $31.09 / $56.29	Professional		$23.39	$31.09	$56.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.74 / $5,276.99 / $21,422.80	Facility		$3,981.74	$5,276.99	$21,422.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $31.09 / $62.43	Facility		$29.33	$31.09	$62.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $31.09 / $55.26	Professional		$29.34	$31.09	$55.26
United Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $31.09	Professional		$31.09	$31.09	$31.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $30.53 / $41.97	Professional		$30.53	$30.53	$41.97