Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.51 / $2,410.00 / $7,316.00	Facility		$563.51	$2,410.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.60 / $511.16 / $823.29	Professional		$279.60	$511.16	$823.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $543.16 / $596.88 / $925.17	Professional		$543.16	$596.88	$925.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.88 / $384.24 / $1,536.98	Facility		$228.88	$384.24	$1,536.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.47 / $501.78 / $812.81	Professional		$268.47	$501.78	$812.81
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $201.18 / $1,066.08	Facility		$147.18	$201.18	$1,066.08
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $200.42 / $596.88 / $1,014.70	Professional		$200.42	$596.88	$1,014.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $254.07 / $583.62 / $597.00	Facility		$254.07	$583.62	$597.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.40 / $602.39 / $970.09	Professional		$328.40	$602.39	$970.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,570.92	Facility		$55.00	$55.00	$1,570.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,417.98 / $4,628.80 / $5,367.83	Professional		$2,417.98	$4,628.80	$5,367.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.66 / $558.08 / $869.89	Facility		$299.66	$558.08	$869.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $417.30 / $835.14 / $1,155.77	Professional		$417.30	$835.14	$1,155.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $548.96 / $743.56	Professional		$259.27	$548.96	$743.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $299.66 / $563.51 / $877.58	Facility		$299.66	$563.51	$877.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.13 / $634.51 / $1,044.40	Professional		$346.13	$634.51	$1,044.40
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,290.00	Facility		$161.00	$950.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $478.01 / $637.34 / $945.01	Professional		$478.01	$637.34	$945.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $530.33 / $596.88 / $835.63	Professional		$530.33	$596.88	$835.63