Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.86 / $2,444.00 / $6,149.00	Facility		$425.86	$2,444.00	$6,149.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.43 / $377.70 / $650.12	Professional		$242.43	$377.70	$650.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.56 / $298.42 / $472.16	Professional		$271.56	$298.42	$472.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,280.61 / $2,182.42 / $4,454.97	Facility		$1,280.61	$2,182.42	$4,454.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.45 / $438.42 / $711.19	Professional		$291.45	$438.42	$711.19
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $298.42 / $400.17 / $582.44	Professional		$298.42	$400.17	$582.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $306.33 / $1,926.93 / $1,926.93	Facility		$306.33	$1,926.93	$1,926.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.69 / $1,016.69 / $1,016.69	Facility		$1,016.69	$1,016.69	$1,016.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.03 / $502.30 / $827.39	Professional		$339.03	$502.30	$827.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,593.63 / $16,394.00 / $16,394.00	Facility		$1,593.63	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,255.19 / $3,276.32 / $3,924.08	Professional		$2,255.19	$3,276.32	$3,924.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $290.13 / $450.70 / $801.34	Facility		$290.13	$450.70	$801.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $401.58 / $574.57 / $805.23	Professional		$401.58	$574.57	$805.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.50 / $834.48 / $1,643.99	Professional		$537.50	$834.48	$1,643.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.13 / $458.17 / $897.40	Facility		$290.13	$458.17	$897.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.24 / $524.32 / $899.89	Professional		$340.24	$524.32	$899.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.92 / $513.08 / $798.99	Professional		$367.92	$513.08	$798.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $381.80 / $429.24 / $603.77	Professional		$381.80	$429.24	$603.77