Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,235.94 / $11,748.98	Facility		$707.95	$3,235.94	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $758.58	Professional		$302.00	$416.87	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $5,370.32	Facility		$1,548.82	$2,691.53	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $645.65	Professional		$316.23	$436.52	$645.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,884.03	Facility		$1,995.26	$1,995.26	$2,884.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $691.83	Professional		$234.42	$354.81	$691.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,995.26 / $1,995.26	Facility		$302.00	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $741.31	Professional		$346.74	$489.78	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $45,708.82 / $45,708.82	Facility		$5,623.41	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,890.45 / $3,890.45	Professional		$3,388.44	$3,890.45	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $524.81 / $3,890.45	Facility		$323.59	$524.81	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $912.01	Professional		$309.03	$478.63	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $691.83	Facility		$302.00	$446.68	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $776.25	Professional		$363.08	$512.86	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $602.56	Professional		$295.12	$416.87	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68