Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $3,102.00 / $10,393.50	Facility		$747.00	$3,102.00	$10,393.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.74 / $426.48 / $673.82	Professional		$358.74	$426.48	$673.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $452.19 / $452.19 / $452.19	Professional		$452.19	$452.19	$452.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.03 / $2,196.16 / $4,718.10	Facility		$1,348.03	$2,196.16	$4,718.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.10 / $478.05 / $670.53	Professional		$386.10	$478.05	$670.53
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $202.90 / $619.75 / $1,949.54	Facility		$202.90	$619.75	$1,949.54
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $421.14 / $421.14 / $476.72	Professional		$421.14	$421.14	$476.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $396.06 / $1,901.34 / $1,901.34	Facility		$396.06	$1,901.34	$1,901.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.11 / $479.11 / $479.11	Facility		$479.11	$479.11	$479.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.57 / $47.57 / $47.57	Facility	AS	$47.57	$47.57	$47.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.11 / $557.80 / $869.60	Professional		$423.11	$557.80	$869.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,017.35	Facility		$55.00	$55.00	$4,017.35
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $95.18 / $380.79 / $380.79	Facility	AS	$95.18	$380.79	$380.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,037.36 / $3,095.12 / $3,661.43	Professional		$3,037.36	$3,095.12	$3,661.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $390.89 / $494.91 / $854.04	Facility		$390.89	$494.91	$854.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $488.70 / $624.92 / $774.91	Professional		$488.70	$624.92	$774.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $476.04 / $729.13 / $1,546.32	Professional		$476.04	$729.13	$1,546.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $393.99 / $515.71 / $867.98	Facility		$393.99	$515.71	$867.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $47.57 / $47.57 / $136.94	Facility	AS	$47.57	$47.57	$136.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $429.85 / $576.78 / $878.60	Professional		$429.85	$576.78	$878.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.87 / $438.49 / $713.15	Professional		$328.87	$438.49	$713.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $355.57 / $403.74 / $559.63	Professional		$355.57	$403.74	$559.63