Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.97 / $2,474.00 / $6,940.00	Facility		$399.97	$2,474.00	$6,940.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,526.56 / $15,309.25 / $15,309.25	Facility	50	$3,526.56	$15,309.25	$15,309.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $305.91 / $427.31	Professional		$203.86	$305.91	$427.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.83 / $285.80 / $297.07	Professional		$233.83	$285.80	$297.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $287.49 / $287.49 / $287.49	Professional	50	$287.49	$287.49	$287.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,235.33 / $2,182.42 / $4,653.10	Facility		$1,235.33	$2,182.42	$4,653.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.73 / $290.52 / $441.99	Professional		$188.73	$290.52	$441.99
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $216.04 / $255.32 / $404.21	Professional		$216.04	$255.32	$404.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $183.43 / $1,901.34 / $1,901.34	Facility		$183.43	$1,901.34	$1,901.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.69 / $1,016.69 / $1,016.69	Facility		$1,016.69	$1,016.69	$1,016.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.41 / $345.08 / $526.96	Professional		$231.41	$345.08	$526.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,376.58 / $16,394.00 / $16,394.00	Facility		$1,376.58	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.56 / $2,279.67 / $2,595.30	Professional		$1,444.56	$2,279.67	$2,595.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.14 / $335.43 / $593.44	Facility		$215.14	$335.43	$593.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $385.61 / $519.09	Professional		$256.50	$385.61	$519.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.91 / $451.34 / $1,093.46	Professional		$282.91	$451.34	$1,093.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.63 / $339.24 / $693.68	Facility		$217.63	$339.24	$693.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.33 / $354.53 / $578.38	Professional		$233.33	$354.53	$578.38
United Facility/Professional Facility Modifier Low / Median / High Price $681.00 / $2,494.00 / $4,764.00	Facility		$681.00	$2,494.00	$4,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.58 / $334.02 / $536.92	Professional		$250.58	$334.02	$536.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $285.50 / $400.14	Professional		$253.16	$285.50	$400.14