Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.14 / $752.09 / $4,394.59	Facility		$595.14	$752.09	$4,394.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.10 / $2,522.96 / $6,195.12	Professional		$585.10	$2,522.96	$6,195.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.95 / $299.23 / $573.52	Professional		$211.95	$299.23	$573.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $683.72 / $695.69 / $987.45	Professional	50	$683.72	$695.69	$987.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,719.45 / $15,259.06 / $30,480.33	Facility		$8,719.45	$15,259.06	$30,480.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.07 / $2,204.77 / $3,959.67	Professional		$438.07	$2,204.77	$3,959.67
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $13,310.71 / $32,619.34	Facility		$466.72	$13,310.71	$32,619.34
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $337.99 / $529.04 / $769.82	Professional		$337.99	$529.04	$769.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.38 / $744.38 / $744.38	Professional		$744.38	$744.38	$744.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,897.51	Facility		$55.00	$55.00	$4,897.51
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $217.54 / $223.74 / $223.74	Facility	AS	$217.54	$223.74	$223.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,544.27 / $23,107.71 / $24,517.50	Professional		$13,544.27	$23,107.71	$24,517.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $510.51 / $2,182.62 / $6,822.84	Facility		$510.51	$2,182.62	$6,822.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $397.44 / $397.44 / $455.81	Professional		$397.44	$397.44	$455.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $498.71 / $2,562.92 / $5,454.95	Professional		$498.71	$2,562.92	$5,454.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $498.71 / $2,377.08 / $7,901.78	Facility		$498.71	$2,377.08	$7,901.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.68 / $3,722.11 / $9,574.87	Professional		$870.68	$3,722.11	$9,574.87
United Facility/Professional Professional Modifier Low / Median / High Price $3,410.27 / $4,755.89 / $7,586.15	Professional		$3,410.27	$4,755.89	$7,586.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,390.46 / $2,663.39 / $3,796.82	Professional		$2,390.46	$2,663.39	$3,796.82