Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.20 / $2,500.00 / $7,542.00	Facility		$302.20	$2,500.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.81 / $220.75 / $385.62	Professional		$189.81	$220.75	$385.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.66 / $223.45 / $339.07	Professional		$182.66	$223.45	$339.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.78 / $197.97 / $717.88	Facility		$111.78	$197.97	$717.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $241.16 / $349.18	Professional		$190.53	$241.16	$349.18
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $115.30 / $162.01 / $290.75	Professional		$115.30	$162.01	$290.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $193.47 / $975.50 / $975.50	Facility		$193.47	$975.50	$975.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.82 / $355.82 / $355.82	Facility		$355.82	$355.82	$355.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.75 / $294.06 / $454.54	Professional		$216.75	$294.06	$454.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $993.04 / $9,102.00 / $11,500.00	Facility		$993.04	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,556.24 / $1,976.63 / $2,441.19	Professional		$1,556.24	$1,976.63	$2,441.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.97 / $273.58 / $452.90	Facility		$203.97	$273.58	$452.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.52 / $323.33 / $415.71	Professional		$263.52	$323.33	$415.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $221.26 / $362.25 / $545.00	Professional		$221.26	$362.25	$545.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.53 / $274.20 / $460.18	Facility		$204.53	$274.20	$460.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.26 / $308.80 / $467.96	Professional		$219.26	$308.80	$467.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,391.00 / $4,063.00 / $8,226.00	Facility		$1,391.00	$4,063.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $250.51 / $389.44	Professional		$181.08	$250.51	$389.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $223.45 / $313.07	Professional		$197.11	$223.45	$313.07