Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $38.90 / $9,120.11	Facility		$8.32	$38.90	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.13 / $5,370.32	Professional		$7.94	$8.13	$5,370.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $41.69	Professional		$8.13	$11.48	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $251.19 / $478.63	Facility		$102.33	$251.19	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $57.54 / $2,454.71	Facility		$28.18	$57.54	$2,454.71
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $32.36 / $63.10	Professional		$12.59	$32.36	$63.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $8.13 / $8.13	Facility		$2.63	$8.13	$8.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
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 $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.12 / $34.67	Facility		$8.13	$9.12	$34.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $1,949.84	Professional		$7.94	$7.94	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $30.20	Professional		$12.59	$15.14	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $30.20 / $125.89	Professional		$0.60	$30.20	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.91 / $89.13	Facility		$8.13	$8.91	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $28.18	Facility		$8.13	$8.13	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.71 / $9.12	Professional		$8.13	$8.71	$9.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $19.05	Professional		$8.13	$8.13	$19.05