Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.44 / $1,874.00 / $7,158.69	Facility		$345.44	$1,874.00	$7,158.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $550.30 / $1,852.88 / $6,164.62	Facility	50	$550.30	$1,852.88	$6,164.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.62 / $304.92 / $466.39	Professional		$176.62	$304.92	$466.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.84 / $417.34 / $1,831.77	Professional	50	$86.84	$417.34	$1,831.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $169.33 / $169.33	Professional		$169.33	$169.33	$169.33
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $115.57 / $127.00 / $207.69	Professional	50	$115.57	$127.00	$207.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,095.42 / $3,955.13 / $7,697.00	Facility		$2,095.42	$3,955.13	$7,697.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $239.59 / $417.07	Professional		$150.66	$239.59	$417.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $1,289.86 / $5,996.04	Facility		$147.18	$1,289.86	$5,996.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $99.74 / $139.69 / $401.55	Professional		$99.74	$139.69	$401.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $2,318.28 / $2,318.28	Facility		$150.57	$2,318.28	$2,318.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.65 / $2,001.65 / $2,001.65	Facility		$2,001.65	$2,001.65	$2,001.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.14 / $341.79 / $696.88	Professional		$194.14	$341.79	$696.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,219.74 / $16,394.00 / $16,394.00	Facility		$1,219.74	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,761.00 / $3,761.00 / $3,761.00	Professional		$3,761.00	$3,761.00	$3,761.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.15 / $377.26 / $728.84	Facility		$180.15	$377.26	$728.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $225.81 / $323.08 / $517.61	Professional		$225.81	$323.08	$517.61
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $230.15 / $900.17 / $900.17	Professional	50	$230.15	$900.17	$900.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $959.07 / $2,048.42 / $6,094.00	Facility		$959.07	$2,048.42	$6,094.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $159.21 / $269.70 / $353.34	Professional		$159.21	$269.70	$353.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.15 / $388.46 / $733.47	Facility		$180.15	$388.46	$733.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.63 / $364.65 / $737.52	Professional		$200.63	$364.65	$737.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.86 / $406.67 / $612.36	Professional		$247.86	$406.67	$612.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.42 / $276.93 / $388.95	Professional		$245.42	$276.93	$388.95