Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.34 / $2,181.00 / $5,872.00	Facility		$455.34	$2,181.00	$5,872.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.93 / $64.48 / $260.82	Facility	52	$41.93	$64.48	$260.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.77 / $25.79 / $104.33	Facility	53	$16.77	$25.79	$104.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $332.34 / $518.80	Professional		$83.84	$332.34	$518.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,255.97 / $2,577.19 / $5,030.70	Facility		$1,255.97	$2,577.19	$5,030.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $282.55 / $493.31	Professional		$76.42	$282.55	$493.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,011.84 / $1,458.65 / $2,042.11	Facility		$1,011.84	$1,458.65	$2,042.11
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $78.16 / $391.00	Professional		$78.16	$78.16	$391.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $1,320.32 / $1,320.32	Facility		$71.37	$1,320.32	$1,320.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.77 / $907.77 / $907.77	Facility		$907.77	$907.77	$907.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.77 / $184.34 / $629.37	Professional		$95.77	$184.34	$629.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $468.20	Facility		$55.00	$55.00	$468.20
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $297.91 / $318.74 / $318.74	Facility	52	$297.91	$318.74	$318.74
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $74.48 / $79.69 / $79.69	Facility	53	$74.48	$79.69	$79.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.29 / $2,634.80 / $3,084.45	Professional		$1,338.29	$2,634.80	$3,084.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.85 / $326.29 / $651.14	Facility		$83.85	$326.29	$651.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.44 / $461.71 / $621.53	Professional		$103.44	$461.71	$621.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $531.00 / $531.00 / $531.00	Professional		$531.00	$531.00	$531.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.85 / $338.59 / $744.51	Facility		$83.85	$338.59	$744.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.33 / $254.41 / $676.55	Professional		$96.33	$254.41	$676.55
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,100.00 / $5,997.00	Facility		$564.00	$2,100.00	$5,997.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.02 / $423.30 / $679.57	Professional		$308.02	$423.30	$679.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $303.12 / $338.59 / $482.17	Professional		$303.12	$338.59	$482.17