Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.36 / $1,871.00 / $7,111.64	Facility		$351.36	$1,871.00	$7,111.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $263.32 / $930.50 / $5,851.50	Facility	50	$263.32	$930.50	$5,851.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.83 / $721.94 / $1,133.61	Professional		$169.83	$721.94	$1,133.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $124.28 / $124.28 / $218.60	Professional	50	$124.28	$124.28	$218.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $202.27 / $735.68	Professional		$57.10	$202.27	$735.68
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $513.13 / $513.13 / $513.13	Professional	50	$513.13	$513.13	$513.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $4,699.00 / $7,013.00	Facility		$1,845.00	$4,699.00	$7,013.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.94 / $630.01 / $1,121.36	Professional		$155.94	$630.01	$1,121.36
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $83.11 / $918.35 / $982.19	Facility		$83.11	$918.35	$982.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $151.43 / $532.38 / $532.38	Facility		$151.43	$532.38	$532.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.99 / $407.40 / $1,443.43	Professional		$196.99	$407.40	$1,443.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,475.05	Facility		$55.00	$55.00	$1,475.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,995.17 / $5,698.08 / $6,737.40	Professional		$2,995.17	$5,698.08	$6,737.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.53 / $524.67 / $1,501.45	Facility		$188.53	$524.67	$1,501.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.14 / $634.53 / $1,351.19	Professional		$216.14	$634.53	$1,351.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.63 / $673.66 / $1,479.22	Professional		$173.63	$673.66	$1,479.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.53 / $629.70 / $1,531.57	Facility		$188.53	$629.70	$1,531.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.93 / $519.12 / $1,515.92	Professional		$204.93	$519.12	$1,515.92
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $685.43 / $921.27 / $1,462.26	Professional		$685.43	$921.27	$1,462.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $658.97 / $735.68 / $1,046.85	Professional		$658.97	$735.68	$1,046.85