Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.30 / $3,500.00 / $10,608.00	Facility		$624.30	$3,500.00	$10,608.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.57 / $474.03 / $736.23	Professional		$333.57	$474.03	$736.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $332.41 / $384.89 / $531.97	Professional		$332.41	$384.89	$531.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,380.71 / $4,243.05 / $8,384.57	Facility		$2,380.71	$4,243.05	$8,384.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.39 / $482.35 / $691.00	Professional		$335.39	$482.35	$691.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $504.10 / $647.32	Professional		$384.89	$504.10	$647.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $338.39 / $339.62	Facility		$80.00	$338.39	$339.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.90 / $622.90 / $622.90	Facility		$622.90	$622.90	$622.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.23 / $591.64 / $912.71	Professional		$389.23	$591.64	$912.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,732.48 / $11,500.00 / $26,542.00	Facility		$1,732.48	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,702.08 / $3,802.00 / $4,385.10	Professional		$2,702.08	$3,802.00	$4,385.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $374.85 / $539.16 / $824.82	Facility		$374.85	$539.16	$824.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $468.03 / $661.87 / $916.43	Professional		$468.03	$661.87	$916.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $387.84 / $719.62 / $1,409.53	Professional		$387.84	$719.62	$1,409.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $376.97 / $541.01 / $858.94	Facility		$376.97	$541.01	$858.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $399.83 / $603.62 / $993.48	Professional		$399.83	$603.62	$993.48
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 $409.31 / $555.54 / $869.04	Professional		$409.31	$555.54	$869.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $434.53 / $490.82 / $689.82	Professional		$434.53	$490.82	$689.82