Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,019.95 / $11,748.98	Facility		$741.31	$3,019.95	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $758.58	Professional		$302.00	$457.09	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $380.19 / $707.95	Professional		$169.82	$380.19	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $8,128.31	Facility		$2,187.76	$4,265.80	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $616.60	Professional		$309.03	$446.68	$616.60
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $812.83 / $4,365.16	Facility		$457.09	$812.83	$4,365.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $812.83	Professional		$478.63	$616.60	$812.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,511.89 / $2,511.89	Facility		$309.03	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $891.25	Professional		$354.81	$549.54	$891.25
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 $3,548.13 / $4,073.80 / $4,073.80	Professional		$3,548.13	$4,073.80	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $3,090.30	Facility		$338.84	$562.34	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $870.96	Professional		$316.23	$489.78	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $275.42 / $407.38	Professional		$32.36	$275.42	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $954.99	Professional		$537.03	$537.03	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $870.96	Facility		$338.84	$512.86	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $912.01	Professional		$346.74	$549.54	$912.01
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 $295.12 / $436.52 / $691.83	Professional		$295.12	$436.52	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $489.78	Professional		$467.74	$489.78	$489.78