Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.28 / $2,444.00 / $7,066.63	Facility		$520.28	$2,444.00	$7,066.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.23 / $476.64 / $745.99	Professional		$331.23	$476.64	$745.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $328.07 / $345.33 / $524.30	Professional		$328.07	$345.33	$524.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,130.00 / $4,144.00 / $8,173.76	Facility		$2,130.00	$4,144.00	$8,173.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.65 / $473.70 / $677.93	Professional		$329.65	$473.70	$677.93
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $189.93 / $204.81 / $421.00	Professional		$189.93	$204.81	$421.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $335.87 / $337.24	Facility		$80.00	$335.87	$337.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.42 / $614.42 / $614.42	Facility		$614.42	$614.42	$614.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.54 / $582.51 / $896.96	Professional		$384.54	$582.51	$896.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,711.20 / $11,500.00 / $16,394.00	Facility		$1,711.20	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,664.32 / $3,733.20 / $4,313.85	Professional		$2,664.32	$3,733.20	$4,313.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.92 / $530.04 / $815.97	Facility		$371.92	$530.04	$815.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $408.81 / $622.11 / $893.21	Professional		$408.81	$622.11	$893.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $334.21 / $506.32 / $812.90	Professional		$334.21	$506.32	$812.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.92 / $531.11 / $841.00	Facility		$371.92	$531.11	$841.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $395.56 / $596.47 / $989.39	Professional		$395.56	$596.47	$989.39
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 $407.40 / $557.07 / $850.42	Professional		$407.40	$557.07	$850.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $427.08 / $482.28 / $677.86	Professional		$427.08	$482.28	$677.86