Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,134.25 / $7,935.00	Facility		$709.00	$3,134.25	$7,935.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $608.74 / $1,063.73	Professional		$158.19	$608.74	$1,063.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $2,168.71 / $4,337.42	Facility		$1,191.00	$2,168.71	$4,337.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.05 / $592.82 / $1,199.07	Professional		$163.05	$592.82	$1,199.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $665.99 / $1,641.47 / $2,856.79	Facility		$665.99	$1,641.47	$2,856.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $149.84 / $166.19 / $166.19	Facility		$149.84	$166.19	$166.19
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 $209.19 / $755.70 / $1,670.84	Professional		$209.19	$755.70	$1,670.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,346.61	Facility		$55.00	$55.00	$1,346.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,734.37 / $5,287.44 / $6,176.03	Professional		$2,734.37	$5,287.44	$6,176.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.26 / $566.60 / $1,471.62	Facility		$170.26	$566.60	$1,471.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $222.87 / $783.15 / $1,281.51	Professional		$222.87	$783.15	$1,281.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $166.57 / $664.66 / $1,405.93	Professional		$166.57	$664.66	$1,405.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.26 / $606.14 / $1,507.92	Facility		$170.26	$606.14	$1,507.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.58 / $796.91 / $1,704.14	Professional		$211.58	$796.91	$1,704.14
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,100.00 / $4,554.00	Facility		$564.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $779.33 / $1,046.38 / $1,659.96	Professional		$779.33	$1,046.38	$1,659.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $607.63 / $679.15 / $966.61	Professional		$607.63	$679.15	$966.61