Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.27 / $2,444.00 / $6,940.00	Facility		$322.27	$2,444.00	$6,940.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $264.63 / $414.77	Professional		$177.80	$264.63	$414.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.54 / $265.08 / $451.50	Professional		$132.54	$265.08	$451.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $573.41 / $988.22 / $2,130.00	Facility		$573.41	$988.22	$2,130.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.53 / $286.87 / $410.68	Professional		$194.53	$286.87	$410.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $604.16 / $775.20 / $3,772.83	Facility		$604.16	$775.20	$3,772.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $201.42 / $332.01 / $480.63	Professional		$201.42	$332.01	$480.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $177.33 / $560.86 / $560.86	Facility		$177.33	$560.86	$560.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.52 / $320.04 / $477.33	Professional		$215.52	$320.04	$477.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,068.60 / $16,394.00 / $16,394.00	Facility		$1,068.60	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,544.72 / $2,246.16 / $2,618.25	Professional		$1,544.72	$2,246.16	$2,618.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $196.39 / $288.69 / $432.45	Facility		$196.39	$288.69	$432.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.50 / $354.76 / $562.54	Professional		$216.50	$354.76	$562.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $185.27 / $292.52 / $370.11	Professional		$185.27	$292.52	$370.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.92 / $288.69 / $440.60	Facility		$195.92	$288.69	$440.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.58 / $337.96 / $558.22	Professional		$222.58	$337.96	$558.22
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,400.00	Facility		$371.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.71 / $322.27 / $479.60	Professional		$241.71	$322.27	$479.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $258.12 / $291.29 / $407.81	Professional		$258.12	$291.29	$407.81