Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $3,647.00 / $12,210.68	Facility		$951.00	$3,647.00	$12,210.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.08 / $782.93 / $1,245.41	Professional		$651.08	$782.93	$1,245.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $902.40 / $927.29 / $927.29	Professional		$902.40	$927.29	$927.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,323.94 / $9,272.02 / $18,364.59	Facility		$5,323.94	$9,272.02	$18,364.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.00 / $876.61 / $1,229.56	Professional		$708.00	$876.61	$1,229.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $425.31 / $533.13 / $652.95	Professional		$425.31	$533.13	$652.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $686.89 / $7,236.22 / $7,236.22	Facility		$686.89	$7,236.22	$7,236.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.89 / $877.89 / $877.89	Facility		$877.89	$877.89	$877.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.01 / $1,025.83 / $1,593.64	Professional		$772.01	$1,025.83	$1,593.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,897.76 / $19,913.50 / $26,542.00	Facility		$2,897.76	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,617.84 / $5,722.48 / $6,654.15	Professional		$5,617.84	$5,722.48	$6,654.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $754.46 / $1,000.94 / $1,548.64	Facility		$754.46	$1,000.94	$1,548.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.23 / $1,145.07 / $1,419.89	Professional		$954.23	$1,145.07	$1,419.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $850.62 / $1,324.63 / $2,832.94	Professional		$850.62	$1,324.63	$2,832.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $754.46 / $1,001.01 / $1,596.23	Facility		$754.46	$1,001.01	$1,596.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $789.11 / $1,071.67 / $1,605.37	Professional		$789.11	$1,071.67	$1,605.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,918.00 / $12,900.00	Facility		$2,093.00	$5,918.00	$12,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $610.55 / $837.43 / $1,305.89	Professional		$610.55	$837.43	$1,305.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $651.52 / $739.67 / $1,028.17	Professional		$651.52	$739.67	$1,028.17