Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $10,715.19	Facility		$870.96	$3,630.78	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $218.78	Professional		$97.72	$131.83	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Professional		$50.12	$50.12	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,168.69 / $8,128.31	Facility		$2,137.96	$4,168.69	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $181.97	Professional		$107.15	$138.04	$181.97
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,677.35 / $6,760.83	Facility		$2,137.96	$4,677.35	$6,760.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $162.18	Professional		$67.61	$81.28	$162.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,862.09 / $1,862.09	Facility		$104.71	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $269.15	Professional		$120.23	$158.49	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $33,884.42 / $33,884.42	Facility		$7,943.28	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,000.00	Professional		$870.96	$1,000.00	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $257.04 / $5,370.32	Facility		$120.23	$257.04	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $288.40	Professional		$112.20	$147.91	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $257.04 / $309.03	Professional		$5.01	$257.04	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $154.88 / $275.42	Facility		$112.20	$154.88	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $275.42	Professional		$120.23	$162.18	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $204.17	Professional		$97.72	$134.90	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $112.20	Professional		$104.71	$112.20	$112.20