Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,110.00 / $10,639.00	Facility		$788.00	$3,110.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.72 / $1,294.82 / $2,028.89	Professional		$340.72	$1,294.82	$2,028.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $392.26 / $396.78 / $1,320.55	Professional		$392.26	$396.78	$1,320.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,466.44 / $4,362.30 / $8,369.27	Facility		$2,466.44	$4,362.30	$8,369.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.18 / $1,229.50 / $1,923.82	Professional		$312.18	$1,229.50	$1,923.82
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,151.80 / $2,829.71 / $8,000.00	Facility		$1,151.80	$2,829.71	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $496.86 / $541.40 / $555.50	Professional		$496.86	$541.40	$555.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $298.17 / $2,525.33 / $2,525.33	Facility		$298.17	$2,525.33	$2,525.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.46 / $2,280.46 / $2,280.46	Facility		$2,280.46	$2,280.46	$2,280.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.43 / $869.54 / $2,731.87	Professional		$395.43	$869.54	$2,731.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,383.09	Facility		$55.00	$55.00	$2,383.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,363.49 / $10,238.40 / $12,055.35	Professional		$5,363.49	$10,238.40	$12,055.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.44 / $1,273.88 / $2,538.42	Facility		$354.44	$1,273.88	$2,538.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.39 / $1,799.76 / $2,422.75	Professional		$426.39	$1,799.76	$2,422.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $326.88 / $1,262.63 / $2,935.63	Professional		$326.88	$1,262.63	$2,935.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.44 / $1,320.55 / $2,719.23	Facility		$354.44	$1,320.55	$2,719.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $395.43 / $1,039.27 / $2,841.71	Professional		$395.43	$1,039.27	$2,841.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,600.00	Facility		$1,634.00	$4,425.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,301.82 / $1,759.45 / $2,780.40	Professional		$1,301.82	$1,759.45	$2,780.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,181.57 / $1,320.55 / $1,877.46	Professional		$1,181.57	$1,320.55	$1,877.46