Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.20 / $2,124.00 / $6,762.00	Facility		$329.20	$2,124.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $208.84 / $398.61	Professional		$86.85	$208.84	$398.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $82.94 / $91.23	Professional		$82.94	$82.94	$91.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.15 / $1,008.82 / $2,144.00	Facility		$561.15	$1,008.82	$2,144.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $199.10 / $335.89	Professional		$80.44	$199.10	$335.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $118.72 / $174.64	Professional		$97.03	$118.72	$174.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $78.20 / $529.69 / $529.69	Facility		$78.20	$529.69	$529.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.01 / $477.01 / $477.01	Facility		$477.01	$477.01	$477.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $234.48 / $903.45	Professional		$101.30	$234.48	$903.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $495.50	Facility		$55.00	$55.00	$495.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.05 / $2,433.13 / $2,506.13	Professional		$1,608.05	$2,433.13	$2,506.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.08 / $222.06 / $441.27	Facility		$88.08	$222.06	$441.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $244.44 / $400.00	Professional		$109.75	$244.44	$400.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $198.10 / $198.10 / $198.10	Professional		$198.10	$198.10	$198.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.08 / $223.82 / $470.00	Facility		$88.08	$223.82	$470.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.16 / $248.00 / $896.70	Professional		$102.16	$248.00	$896.70
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.68 / $285.56 / $821.76	Professional		$179.68	$285.56	$821.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.66 / $213.16 / $301.23	Professional		$189.66	$213.16	$301.23