Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.00 / $3,504.00 / $10,326.44	Facility		$762.00	$3,504.00	$10,326.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.12 / $795.42 / $1,343.02	Professional		$668.12	$795.42	$1,343.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $717.42 / $755.18 / $948.99	Professional		$717.42	$755.18	$948.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,990.00 / $9,032.74 / $17,826.21	Facility		$3,990.00	$9,032.74	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.32 / $904.24 / $1,268.32	Professional		$730.32	$904.24	$1,268.32
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $713.60 / $6,143.97 / $11,087.30	Facility		$713.60	$6,143.97	$11,087.30
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $447.27 / $791.49 / $1,298.57	Professional		$447.27	$791.49	$1,298.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $730.55 / $5,593.02 / $5,593.02	Facility		$730.55	$5,593.02	$5,593.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $898.71 / $898.71 / $898.71	Facility		$898.71	$898.71	$898.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.50 / $1,015.29 / $1,551.03	Professional		$761.50	$1,015.29	$1,551.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,964.88 / $16,394.00 / $19,913.50	Facility		$2,964.88	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,736.48 / $5,872.80 / $6,831.30	Professional		$5,736.48	$5,872.80	$6,831.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $755.01 / $957.85 / $1,483.42	Facility		$755.01	$957.85	$1,483.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $976.86 / $1,195.68 / $1,453.57	Professional		$976.86	$1,195.68	$1,453.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $855.65 / $1,348.27 / $2,894.23	Professional		$855.65	$1,348.27	$2,894.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $755.18 / $961.98 / $1,533.13	Facility		$755.18	$961.98	$1,533.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $766.78 / $1,052.55 / $1,578.30	Professional		$766.78	$1,052.55	$1,578.30
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 $596.30 / $794.41 / $1,260.28	Professional		$596.30	$794.41	$1,260.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $666.98 / $755.18 / $1,052.81	Professional		$666.98	$755.18	$1,052.81