Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,548.13 / $11,481.54	Facility		$831.76	$3,548.13	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,445.44	Professional		$630.96	$776.25	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $954.99	Professional		$588.84	$616.60	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $8,511.38	Facility		$2,570.40	$4,570.88	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $1,000.00	Professional		$524.81	$616.60	$1,000.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,258.93 / $4,073.80	Facility		$316.23	$1,258.93	$4,073.80
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,230.27	Professional		$616.60	$851.14	$1,230.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,890.45 / $3,890.45	Facility		$588.84	$3,890.45	$3,890.45
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 $676.08 / $891.25 / $1,348.96	Professional		$676.08	$891.25	$1,348.96
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 Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,495.41 / $5,495.41	Professional		$4,570.88	$5,495.41	$5,495.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $7,943.28	Facility		$676.08	$1,819.70	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,513.56	Professional		$645.65	$851.14	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,000.00 / $1,548.82	Professional		$588.84	$1,000.00	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $1,548.82	Facility		$630.96	$851.14	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,348.96	Professional		$660.69	$891.25	$1,348.96
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 $524.81 / $707.95 / $1,148.15	Professional		$524.81	$707.95	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $645.65	Professional		$575.44	$575.44	$645.65