Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $8.27 / $8.93	Facility		$8.27	$8.27	$8.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $9.22 / $16.54	Professional		$8.27	$9.22	$16.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $13.41 / $14.17	Professional		$11.26	$13.41	$14.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $8.99 / $11.25	Professional		$8.99	$8.99	$11.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $14.17 / $18.89	Professional		$13.22	$14.17	$18.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $18.89 / $18.89	Facility		$18.89	$18.89	$18.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $14.44 / $14.44	Facility		$14.44	$14.44	$14.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $14.44	Professional		$10.54	$10.54	$14.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $101.79 / $119.65	Facility		$85.00	$101.79	$119.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $129.41 / $188.93	Professional		$126.41	$129.41	$188.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $13.52 / $18.89	Facility		$6.08	$13.52	$18.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $17.14 / $22.28	Professional		$6.15	$17.14	$22.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $9.90	Professional		$9.90	$9.90	$9.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $13.52 / $18.89	Facility		$6.08	$13.52	$18.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $15.39	Professional		$10.54	$10.54	$15.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $11.62 / $14.20	Professional		$7.86	$11.62	$14.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $13.60 / $18.89	Professional		$11.43	$13.60	$18.89