Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,166.00 / $7,513.00	Facility		$500.00	$2,166.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.68 / $426.78 / $564.51	Professional		$355.68	$426.78	$564.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $359.29 / $380.85 / $513.90	Professional		$359.29	$380.85	$513.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,795.28 / $7,216.02 / $14,753.77	Facility		$3,795.28	$7,216.02	$14,753.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.61 / $437.91 / $596.73	Professional		$343.61	$437.91	$596.73
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $399.91 / $472.62 / $753.94	Professional		$399.91	$472.62	$753.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $333.32 / $343.02 / $343.02	Facility		$333.32	$343.02	$343.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,723.36 / $5,723.36 / $5,723.36	Facility		$5,723.36	$5,723.36	$5,723.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.32 / $532.75 / $877.60	Professional		$389.32	$532.75	$877.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,615.30	Facility		$55.00	$55.00	$22,615.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.04 / $2,759.44 / $3,186.98	Professional		$2,691.04	$2,759.44	$3,186.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $364.12 / $452.55 / $856.48	Facility		$364.12	$452.55	$856.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $415.50 / $549.24 / $659.09	Professional		$415.50	$549.24	$659.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $419.02 / $653.30 / $1,380.06	Professional		$419.02	$653.30	$1,380.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $364.12 / $459.02 / $964.50	Facility		$364.12	$459.02	$964.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.32 / $540.33 / $951.94	Professional		$389.32	$540.33	$951.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $6,608.00 / $13,190.00	Facility		$2,605.00	$6,608.00	$13,190.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $444.40 / $680.10	Professional		$325.39	$444.40	$680.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $312.51 / $359.29 / $490.79	Professional		$312.51	$359.29	$490.79