Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,754.23 / $6,918.31	Facility		$707.95	$2,754.23	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $575.44 / $1,202.26	Professional		$288.40	$575.44	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $870.96	Professional		$562.34	$602.56	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $398.11 / $1,621.81	Facility		$239.88	$398.11	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $501.19 / $794.33	Professional		$257.04	$501.19	$794.33
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $1,023.29	Facility		$524.81	$794.33	$1,023.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $660.69 / $1,000.00	Professional		$302.00	$660.69	$1,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $588.84 / $602.56	Facility		$251.19	$588.84	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $616.60 / $1,000.00	Professional		$331.13	$616.60	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,089.30	Facility		$54.95	$56.23	$2,089.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,370.32 / $5,370.32	Professional		$4,677.35	$5,370.32	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $707.95 / $4,265.80	Facility		$281.84	$707.95	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $575.44 / $1,148.15	Professional		$288.40	$575.44	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $549.54 / $891.25	Facility		$269.15	$549.54	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $1,000.00	Professional		$346.74	$630.96	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $812.83	Professional		$288.40	$489.78	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56