Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $2,562.00 / $7,495.00	Facility		$546.00	$2,562.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.50 / $425.20 / $644.05	Professional		$284.50	$425.20	$644.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.72 / $300.41 / $300.41	Professional		$298.72	$300.41	$300.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,262.79 / $2,154.98 / $4,454.97	Facility		$1,262.79	$2,154.98	$4,454.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.58 / $421.71 / $628.86	Professional		$285.58	$421.71	$628.86
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $449.11 / $512.33 / $750.83	Professional		$449.11	$512.33	$750.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $287.27 / $1,640.27 / $1,640.27	Facility		$287.27	$1,640.27	$1,640.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.89 / $531.89 / $531.89	Facility		$531.89	$531.89	$531.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.09 / $512.69 / $811.94	Professional		$336.09	$512.69	$811.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $11,500.00 / $16,394.00	Facility		$1,472.00	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,308.80 / $3,315.60 / $3,820.95	Professional		$2,308.80	$3,315.60	$3,820.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $322.56 / $474.13 / $744.48	Facility		$322.56	$474.13	$744.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $384.11 / $571.55 / $798.82	Professional		$384.11	$571.55	$798.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $358.46 / $544.24 / $947.88	Professional		$358.46	$544.24	$947.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.57 / $475.37 / $744.86	Facility		$322.57	$475.37	$744.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $341.62 / $524.99 / $879.14	Professional		$341.62	$524.99	$879.14
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 $365.71 / $487.61 / $779.68	Professional		$365.71	$487.61	$779.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $378.76 / $427.72 / $601.42	Professional		$378.76	$427.72	$601.42