Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,570.40 / $6,918.31	Facility		$707.95	$2,570.40	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,659.59	Professional		$602.56	$812.83	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $812.83	Professional		$407.38	$588.84	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,786.30 / $9,332.54	Facility		$2,511.89	$4,786.30	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,096.48	Professional		$562.34	$691.83	$1,096.48
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,311.31 / $4,786.30	Facility		$660.69	$3,311.31	$4,786.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,818.38 / $2,818.38	Facility		$602.56	$2,818.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,412.54	Professional		$707.95	$933.25	$1,412.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $28,840.32 / $28,840.32	Facility		$11,220.18	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,079.46 / $7,079.46	Professional		$6,165.95	$7,079.46	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $977.24 / $3,715.35	Facility		$630.96	$977.24	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,659.59	Professional		$616.60	$912.01	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $891.25 / $1,380.38	Facility		$602.56	$891.25	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,479.11	Professional		$724.44	$977.24	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,202.26	Professional		$616.60	$812.83	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76