Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,594.00 / $7,078.00	Facility		$669.00	$2,594.00	$7,078.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.33 / $595.97 / $1,068.74	Professional		$183.33	$595.97	$1,068.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $661.53 / $661.53 / $678.38	Professional		$661.53	$661.53	$678.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,383.30 / $4,350.91 / $8,577.84	Facility		$2,383.30	$4,350.91	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $556.47 / $999.40	Professional		$161.62	$556.47	$999.40
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $3,534.14 / $7,466.38	Facility		$545.00	$3,534.14	$7,466.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $162.10 / $2,048.15 / $2,048.15	Facility		$162.10	$2,048.15	$2,048.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,898.89 / $2,898.89 / $2,898.89	Facility		$2,898.89	$2,898.89	$2,898.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $450.69 / $1,272.55	Professional		$210.00	$450.69	$1,272.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,228.98 / $16,394.00 / $16,394.00	Facility		$1,228.98	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,747.09 / $5,267.92 / $6,197.93	Professional		$2,747.09	$5,267.92	$6,197.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.05 / $746.22 / $1,355.48	Facility		$200.05	$746.22	$1,355.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.92 / $469.36 / $1,245.91	Professional		$227.92	$469.36	$1,245.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $676.91 / $1,383.33	Professional		$175.16	$676.91	$1,383.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.05 / $746.29 / $1,558.12	Facility		$200.05	$746.29	$1,558.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.76 / $591.63 / $1,335.44	Professional		$216.76	$591.63	$1,335.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,476.00	Facility		$1,634.00	$4,345.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.15 / $826.81 / $1,326.99	Professional		$628.15	$826.81	$1,326.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $607.63 / $678.38 / $965.98	Professional		$607.63	$678.38	$965.98