Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $28.18 / $128.82	Facility		$26.92	$28.18	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $51.29	Professional		$25.70	$30.20	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $58.88	Professional		$30.90	$45.71	$58.88
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 / $28.84	Professional		$28.84	$28.84	$28.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $61.66	Professional		$43.65	$46.77	$61.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $79.43	Facility		$61.66	$61.66	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $48.98	Professional		$35.48	$35.48	$48.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $52.48 / $87.10	Facility		$26.92	$52.48	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $77.62	Professional		$26.92	$32.36	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $32.36	Professional		$31.62	$31.62	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $48.98 / $89.13	Facility		$26.92	$48.98	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $48.98	Professional		$35.48	$35.48	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $30.20 / $69.18	Facility		$19.05	$30.20	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $43.65	Professional		$25.12	$36.31	$43.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66