Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $2,299.00 / $5,228.30	Facility		$438.00	$2,299.00	$5,228.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $288.45 / $524.85	Professional		$70.73	$288.45	$524.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $71.69 / $297.55	Professional		$71.69	$71.69	$297.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.01 / $969.92 / $2,108.09	Facility		$488.01	$969.92	$2,108.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $293.81 / $577.66	Professional		$77.34	$293.81	$577.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $83.04 / $83.04 / $83.04	Facility		$83.04	$83.04	$83.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $469.10 / $604.91	Professional		$138.88	$469.10	$604.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $71.05 / $82.43 / $82.43	Facility		$71.05	$82.43	$82.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $363.94 / $778.80	Professional		$96.90	$363.94	$778.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $402.90	Facility		$55.00	$55.00	$402.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.10 / $2,545.28 / $2,975.78	Professional		$1,317.10	$2,545.28	$2,975.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $288.45 / $688.44	Facility		$79.95	$288.45	$688.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $377.16 / $617.16	Professional		$104.29	$377.16	$617.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $457.77 / $626.10	Professional		$98.98	$457.77	$626.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $288.45 / $753.08	Facility		$79.95	$288.45	$753.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $383.46 / $810.82	Professional		$98.39	$383.46	$810.82
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.60 / $515.28 / $807.03	Professional		$392.60	$515.28	$807.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $292.63 / $326.98 / $465.51	Professional		$292.63	$326.98	$465.51