Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.38 / $2,396.00 / $7,495.00	Facility		$202.38	$2,396.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $120.17 / $193.01	Professional		$73.16	$120.17	$193.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $61.69 / $61.69	Professional		$61.69	$61.69	$61.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,411.21 / $2,499.02 / $5,456.92	Facility		$1,411.21	$2,499.02	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $134.07 / $201.50	Professional		$76.42	$134.07	$201.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $81.15 / $1,569.74 / $1,815.02	Facility		$81.15	$1,569.74	$1,815.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.84 / $349.62 / $349.62	Facility		$73.84	$349.62	$349.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.61 / $144.60 / $226.79	Professional		$87.61	$144.60	$226.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $411.02	Facility		$55.00	$55.00	$411.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,596.44 / $2,873.06 / $2,987.99	Professional		$2,596.44	$2,873.06	$2,987.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.28 / $123.23 / $200.23	Facility		$79.28	$123.23	$200.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $163.02 / $286.20	Professional		$101.89	$163.02	$286.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.62 / $136.88 / $190.21	Professional		$79.62	$136.88	$190.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.28 / $123.23 / $200.23	Facility		$79.28	$123.23	$200.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $152.21 / $251.14	Professional		$90.18	$152.21	$251.14
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,100.00 / $4,562.00	Facility		$597.00	$2,100.00	$4,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $154.82 / $235.48	Professional		$116.12	$154.82	$235.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $142.90 / $200.06	Professional		$126.71	$142.90	$200.06