Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $40.74	Facility		$38.90	$38.90	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $72.44	Professional		$37.15	$43.65	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $66.07	Professional		$44.67	$63.10	$66.07
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 $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $89.13	Professional		$50.12	$74.13	$89.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $91.20 / $91.20	Facility		$79.43	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $50.12	Professional		$36.31	$36.31	$50.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $645.65	Professional		$446.68	$645.65	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $70.79 / $112.20	Facility		$25.70	$70.79	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $89.13	Professional		$38.90	$46.77	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $44.67 / $44.67	Professional		$38.90	$44.67	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $67.61 / $117.49	Facility		$25.70	$67.61	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $50.12	Professional		$36.31	$36.31	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $39.81 / $91.20	Facility		$25.12	$39.81	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $56.23	Professional		$33.11	$47.86	$56.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20