Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,715.35 / $13,489.63	Facility		$812.83	$3,715.35	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $891.25 / $1,819.70	Professional		$380.19	$891.25	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $8,511.38	Facility		$2,511.89	$4,466.84	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,023.29 / $1,737.80	Professional		$354.81	$1,023.29	$1,737.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $4,466.84 / $12,882.50	Facility		$616.60	$4,466.84	$12,882.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $794.33 / $2,137.96	Professional		$416.87	$794.33	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $10,000.00 / $10,000.00	Professional		$8,317.64	$10,000.00	$10,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,621.81 / $5,495.41	Facility		$426.58	$1,621.81	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,258.93 / $2,398.83	Professional		$389.05	$1,258.93	$2,398.83
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 $380.19 / $1,318.26 / $3,019.95	Professional		$380.19	$1,318.26	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,288.25 / $2,344.23	Facility		$416.87	$1,288.25	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $794.33 / $2,187.76	Professional		$416.87	$794.33	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $10,964.78	Facility		$1,698.24	$5,128.61	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,000.00 / $1,905.46	Professional		$338.84	$1,000.00	$1,905.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,348.96	Professional		$1,288.25	$1,288.25	$1,348.96