Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $3,219.00 / $10,413.01	Facility		$789.00	$3,219.00	$10,413.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.03 / $711.94 / $1,222.80	Professional		$469.03	$711.94	$1,222.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $469.88 / $494.61 / $951.82	Professional		$469.88	$494.61	$951.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,518.44 / $4,270.42 / $8,384.57	Facility		$2,518.44	$4,270.42	$8,384.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.84 / $805.83 / $1,127.22	Professional		$471.84	$805.83	$1,127.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $1,267.26 / $4,050.00	Facility		$168.30	$1,267.26	$4,050.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $544.07 / $717.18 / $915.03	Professional		$544.07	$717.18	$915.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $474.40 / $2,135.32 / $2,135.32	Facility		$474.40	$2,135.32	$2,135.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.10 / $882.10 / $882.10	Facility		$882.10	$882.10	$882.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $88.21 / $88.21 / $88.21	Facility	AS	$88.21	$88.21	$88.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.95 / $904.47 / $1,511.44	Professional		$560.95	$904.47	$1,511.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,437.23 / $11,500.00 / $26,542.00	Facility		$2,437.23	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $237.82 / $262.82 / $262.82	Facility	AS	$237.82	$262.82	$262.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,785.00 / $6,354.40 / $7,334.10	Professional		$4,785.00	$6,354.40	$7,334.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $533.57 / $855.21 / $1,355.22	Facility		$533.57	$855.21	$1,355.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $635.20 / $945.18 / $1,531.87	Professional		$635.20	$945.18	$1,531.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $504.59 / $877.40 / $1,827.27	Professional		$504.59	$877.40	$1,827.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $533.57 / $858.49 / $1,360.93	Facility		$533.57	$858.49	$1,360.93
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $338.93 / $338.93 / $338.93	Facility	80	$338.93	$338.93	$338.93
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $88.21 / $88.21 / $288.08	Facility	AS	$88.21	$88.21	$288.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $572.84 / $953.59 / $1,637.25	Professional		$572.84	$953.59	$1,637.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.86 / $897.59 / $1,457.12	Professional		$640.86	$897.59	$1,457.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $726.34 / $818.63 / $1,153.90	Professional		$726.34	$818.63	$1,153.90