Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.94 / $2,199.19 / $7,497.00	Facility		$240.94	$2,199.19	$7,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $181.90 / $287.58	Professional		$117.91	$181.90	$287.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.99 / $96.70 / $205.88	Professional		$87.99	$96.70	$205.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.18 / $182.84 / $727.59	Facility		$100.18	$182.84	$727.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.81 / $187.70 / $261.99	Professional		$132.81	$187.70	$261.99
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $200.29 / $1,558.22 / $2,129.92	Facility		$200.29	$1,558.22	$2,129.92
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $110.26 / $178.56 / $306.08	Professional		$110.26	$178.56	$306.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $1,452.65 / $1,452.65	Facility		$140.00	$1,452.65	$1,452.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.13 / $217.88 / $330.46	Professional		$161.13	$217.88	$330.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,095.96 / $9,102.00 / $11,500.00	Facility		$1,095.96	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,157.52 / $1,491.52 / $1,739.40	Professional		$1,157.52	$1,491.52	$1,739.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.85 / $201.13 / $290.08	Facility		$147.85	$201.13	$290.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.03 / $255.00 / $373.62	Professional		$143.03	$255.00	$373.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $196.18 / $247.88	Professional		$146.63	$196.18	$247.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.85 / $201.37 / $293.58	Facility		$147.85	$201.37	$293.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.22 / $227.63 / $370.27	Professional		$163.22	$227.63	$370.27
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,064.00 / $4,554.00	Facility		$597.00	$2,064.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.26 / $209.68 / $307.20	Professional		$157.26	$209.68	$307.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.44 / $193.39 / $270.75	Professional		$171.44	$193.39	$270.75