Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.00 / $3,219.00 / $10,234.00	Facility		$638.00	$3,219.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.20 / $441.28 / $728.21	Professional		$316.20	$441.28	$728.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $425.30 / $425.30 / $653.35	Professional		$425.30	$425.30	$653.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,813.40 / $3,594.28 / $6,960.00	Facility		$1,813.40	$3,594.28	$6,960.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.85 / $443.37 / $661.16	Professional		$320.85	$443.37	$661.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $172.69 / $209.98 / $309.92	Professional		$172.69	$209.98	$309.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $322.35 / $323.45	Facility		$80.00	$322.35	$323.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.92 / $596.92 / $596.92	Facility		$596.92	$596.92	$596.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.87 / $544.55 / $862.87	Professional		$372.87	$544.55	$862.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,647.52 / $11,500.00 / $26,542.00	Facility		$1,647.52	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,591.04 / $3,502.40 / $4,022.63	Professional		$2,591.04	$3,502.40	$4,022.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $357.96 / $497.89 / $765.17	Facility		$357.96	$497.89	$765.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $447.84 / $608.47 / $842.49	Professional		$447.84	$608.47	$842.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $361.82 / $514.54 / $600.10	Professional		$361.82	$514.54	$600.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $359.67 / $504.26 / $790.69	Facility		$359.67	$504.26	$790.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.89 / $573.34 / $923.79	Professional		$380.89	$573.34	$923.79
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.63 / $518.41 / $820.43	Professional		$384.63	$518.41	$820.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $399.47 / $451.82 / $634.24	Professional		$399.47	$451.82	$634.24