Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,925.00 / $13,401.00	Facility		$945.00	$3,925.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.84 / $1,581.76 / $2,526.71	Professional		$417.84	$1,581.76	$2,526.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.10 / $247.52 / $400.18	Professional		$212.10	$247.52	$400.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,695.20 / $14,664.55 / $26,554.73	Facility		$5,695.20	$14,664.55	$26,554.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.30 / $1,467.75 / $2,305.33	Professional		$388.30	$1,467.75	$2,305.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $616.77 / $673.18 / $696.15	Professional		$616.77	$673.18	$696.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $370.72 / $15,217.67 / $15,217.67	Facility		$370.72	$15,217.67	$15,217.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,143.43 / $17,143.43 / $17,143.43	Facility		$17,143.43	$17,143.43	$17,143.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.52 / $1,041.31 / $3,711.72	Professional		$491.52	$1,041.31	$3,711.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,320.66	Facility		$55.00	$55.00	$3,320.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,149.90 / $14,461.34 / $16,544.48	Professional		$6,149.90	$14,461.34	$16,544.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.06 / $1,655.73 / $4,582.66	Facility		$460.06	$1,655.73	$4,582.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $530.66 / $714.37 / $2,759.56	Professional		$530.66	$714.37	$2,759.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $405.77 / $1,509.79 / $2,939.92	Professional		$405.77	$1,509.79	$2,939.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.06 / $1,668.34 / $4,593.75	Facility		$460.06	$1,668.34	$4,593.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $503.28 / $1,292.65 / $3,877.19	Professional		$503.28	$1,292.65	$3,877.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,996.00 / $16,566.00	Facility		$2,614.00	$7,996.00	$16,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,718.17 / $2,387.73 / $3,820.38	Professional		$1,718.17	$2,387.73	$3,820.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,345.83 / $1,504.58 / $2,136.55	Professional		$1,345.83	$1,504.58	$2,136.55