Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,467.37 / $11,748.98	Facility		$776.25	$3,467.37	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $776.25	Professional		$295.12	$457.09	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $489.78	Professional		$162.18	$245.47	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,265.80 / $8,317.64	Facility		$2,398.83	$4,265.80	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $602.56	Professional		$302.00	$436.52	$602.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,467.37 / $7,585.78	Facility		$724.44	$3,467.37	$7,585.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $380.19 / $524.81	Professional		$181.97	$380.19	$524.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,454.71 / $2,454.71	Facility		$302.00	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $870.96	Professional		$338.84	$512.86	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $4,073.80	Professional		$3,467.37	$4,073.80	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $537.03 / $2,951.21	Facility		$323.59	$537.03	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $870.96	Professional		$302.00	$478.63	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $263.03 / $407.38	Professional		$32.36	$263.03	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $489.78 / $831.76	Facility		$323.59	$489.78	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $891.25	Professional		$331.13	$512.86	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $660.69	Professional		$275.42	$416.87	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $501.19	Professional		$478.63	$501.19	$501.19