Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.44 / $1,861.00 / $6,691.00	Facility		$167.44	$1,861.00	$6,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.73 / $122.56 / $179.06	Professional		$84.73	$122.56	$179.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $573.41 / $982.12 / $2,177.73	Facility		$573.41	$982.12	$2,177.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $108.63 / $167.84	Professional		$77.95	$108.63	$167.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $825.83 / $2,600.00	Facility		$82.93	$825.83	$2,600.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $135.16 / $140.19	Professional		$123.38	$135.16	$140.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.30 / $625.44 / $625.44	Facility		$73.30	$625.44	$625.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.02 / $542.02 / $542.02	Facility		$542.02	$542.02	$542.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.12 / $144.77 / $223.09	Professional		$96.12	$144.77	$223.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $402.80	Facility		$55.00	$55.00	$402.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $595.44 / $719.33 / $1,087.05	Professional		$595.44	$719.33	$1,087.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.43 / $134.97 / $240.53	Facility		$86.43	$134.97	$240.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.39 / $161.06 / $223.00	Professional		$106.39	$161.06	$223.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $172.00 / $172.00	Professional		$172.00	$172.00	$172.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.43 / $135.72 / $289.77	Facility		$86.43	$135.72	$289.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $152.25 / $246.35	Professional		$97.57	$152.25	$246.35
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 $107.35 / $142.94 / $228.00	Professional		$107.35	$142.94	$228.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $119.62 / $166.75	Professional		$105.74	$119.62	$166.75