Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.31 / $2,620.00 / $8,590.00	Facility		$510.31	$2,620.00	$8,590.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.58 / $441.93 / $690.96	Professional		$293.58	$441.93	$690.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.37 / $208.75 / $372.68	Professional		$166.37	$208.75	$372.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.21 / $4,243.05 / $8,384.57	Facility		$2,354.21	$4,243.05	$8,384.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.27 / $455.75 / $648.86	Professional		$302.27	$455.75	$648.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $2,921.45 / $8,100.00	Facility		$673.20	$2,921.45	$8,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $172.66 / $225.94 / $290.38	Professional		$172.66	$225.94	$290.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $305.85 / $2,730.19 / $2,730.19	Facility		$305.85	$2,730.19	$2,730.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.83 / $557.83 / $557.83	Facility		$557.83	$557.83	$557.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.87 / $531.78 / $845.37	Professional		$349.87	$531.78	$845.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,551.92 / $11,500.00 / $26,542.00	Facility		$1,551.92	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,674.00 / $3,565.68 / $4,134.53	Professional		$2,674.00	$3,565.68	$4,134.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $335.77 / $498.72 / $768.89	Facility		$335.77	$498.72	$768.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $420.51 / $601.65 / $861.71	Professional		$420.51	$601.65	$861.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $328.99 / $521.75 / $810.79	Professional		$328.99	$521.75	$810.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.79 / $501.05 / $784.14	Facility		$337.79	$501.05	$784.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.64 / $560.17 / $936.28	Professional		$358.64	$560.17	$936.28
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 $385.55 / $513.91 / $808.37	Professional		$385.55	$513.91	$808.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $408.58 / $460.64 / $648.57	Professional		$408.58	$460.64	$648.57