Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $103.16 / $8,158.75	Facility		$40.70	$103.16	$8,158.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.70 / $4,126.72	Professional		$40.29	$40.70	$4,126.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $46.82 / $49.05	Professional		$44.59	$46.82	$49.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.39 / $229.49 / $457.88	Facility		$93.39	$229.49	$457.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $50.56 / $50.56	Professional		$50.56	$50.56	$50.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $60.00 / $4,820.97	Facility		$57.32	$60.00	$4,820.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $60.00 / $88.50	Professional		$55.74	$60.00	$88.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,507.42 / $2,507.42 / $2,507.42	Facility		$2,507.42	$2,507.42	$2,507.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $40.29 / $63.75	Facility		$34.63	$40.29	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Professional		$40.29	$40.29	$40.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.64 / $382.05 / $382.05	Facility		$105.64	$382.05	$382.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $229.91 / $233.37	Professional		$228.90	$229.91	$233.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $44.59 / $86.28	Facility		$40.29	$44.59	$86.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $41.10 / $66.48	Professional		$40.29	$41.10	$66.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $44.32 / $84.85	Professional		$37.71	$44.32	$84.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $40.29 / $85.41	Facility		$40.29	$40.29	$85.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $64.98	Professional		$40.29	$40.29	$64.98
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $42.71 / $44.85	Professional		$40.29	$42.71	$44.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $44.59 / $56.41	Professional		$40.29	$44.59	$56.41