Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.89 / $491.95 / $1,544.55	Facility		$387.89	$491.95	$1,544.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.52 / $1,373.79 / $2,141.17	Professional		$384.52	$1,373.79	$2,141.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $300.62 / $596.91 / $936.09	Professional		$300.62	$596.91	$936.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,353.00 / $10,256.00 / $15,308.00	Facility		$4,353.00	$10,256.00	$15,308.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $743.38 / $1,335.08	Professional		$255.10	$743.38	$1,335.08
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $154.05 / $154.05 / $4,806.41	Facility		$154.05	$154.05	$4,806.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.90 / $485.90 / $485.90	Professional		$485.90	$485.90	$485.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,474.78	Facility		$55.00	$55.00	$1,474.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,261.02 / $7,457.86 / $8,547.75	Professional		$4,261.02	$7,457.86	$8,547.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.84 / $887.74 / $2,154.96	Facility		$331.84	$887.74	$2,154.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $298.14 / $298.14 / $298.14	Professional		$298.14	$298.14	$298.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.24 / $975.73 / $1,831.82	Professional		$323.24	$975.73	$1,831.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.24 / $835.46 / $2,478.98	Facility		$323.24	$835.46	$2,478.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.59 / $1,267.83 / $3,226.99	Professional		$570.59	$1,267.83	$3,226.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.34 / $1,534.05 / $2,443.76	Professional		$1,098.34	$1,534.05	$2,443.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $835.38 / $936.09 / $1,324.73	Professional		$835.38	$936.09	$1,324.73