Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $2,396.00 / $7,752.48	Facility		$662.00	$2,396.00	$7,752.48
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $109.94 / $169.83 / $879.47	Facility	52	$109.94	$169.83	$879.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.69 / $702.93 / $1,584.49	Professional		$213.69	$702.93	$1,584.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $205.86 / $267.62	Professional		$130.47	$205.86	$267.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,538.07 / $4,610.95 / $9,045.68	Facility		$2,538.07	$4,610.95	$9,045.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.94 / $920.37 / $1,727.42	Professional		$198.94	$920.37	$1,727.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,979.07 / $8,000.00	Facility		$1,300.00	$2,979.07	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $205.86 / $293.94 / $347.77	Professional		$205.86	$293.94	$347.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $195.69 / $3,441.27 / $3,441.27	Facility		$195.69	$3,441.27	$3,441.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,311.50 / $2,311.50 / $2,311.50	Facility		$2,311.50	$2,311.50	$2,311.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.58 / $510.50 / $1,682.07	Professional		$241.58	$510.50	$1,682.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,179.96	Facility		$55.00	$55.00	$2,179.96
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $784.78 / $841.06 / $841.06	Facility	52	$784.78	$841.06	$841.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,427.10 / $8,561.36 / $10,043.10	Professional		$4,427.10	$8,561.36	$10,043.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.03 / $866.16 / $2,090.96	Facility		$213.03	$866.16	$2,090.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $272.49 / $1,270.59 / $2,079.16	Professional		$272.49	$1,270.59	$2,079.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.95 / $1,057.66 / $1,642.31	Professional		$198.95	$1,057.66	$1,642.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.03 / $981.16 / $2,144.37	Facility		$213.03	$981.16	$2,144.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.23 / $662.29 / $1,897.05	Professional		$247.23	$662.29	$1,897.05
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 $787.60 / $1,128.16 / $1,805.51	Professional		$787.60	$1,128.16	$1,805.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $985.83 / $1,099.33 / $1,568.63	Professional		$985.83	$1,099.33	$1,568.63