Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $2,122.12 / $7,316.00	Facility		$352.00	$2,122.12	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.24 / $304.77 / $531.47	Professional		$153.24	$304.77	$531.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.65 / $366.64 / $568.29	Professional		$333.65	$366.64	$568.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.59 / $1,013.00 / $3,989.00	Facility		$180.59	$1,013.00	$3,989.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.40 / $280.63 / $503.53	Professional		$138.40	$280.63	$503.53
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $171.13 / $171.13 / $171.13	Facility		$171.13	$171.13	$171.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $170.44 / $196.01 / $345.26	Professional		$170.44	$196.01	$345.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $137.81 / $137.81 / $371.95	Facility		$137.81	$137.81	$371.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.78 / $368.00 / $587.58	Professional		$180.78	$368.00	$587.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $861.08	Facility		$55.00	$55.00	$861.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,480.96 / $2,847.92 / $3,304.20	Professional		$1,480.96	$2,847.92	$3,304.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.75 / $327.23 / $527.27	Facility		$164.75	$327.23	$527.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.42 / $448.48 / $688.21	Professional		$229.42	$448.48	$688.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $316.06 / $457.48	Professional		$140.47	$316.06	$457.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.75 / $339.42 / $531.63	Facility		$164.75	$339.42	$531.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.29 / $378.98 / $632.79	Professional		$190.29	$378.98	$632.79
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 $292.33 / $389.77 / $588.17	Professional		$292.33	$389.77	$588.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $326.32 / $366.64 / $513.29	Professional		$326.32	$366.64	$513.29