Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $1,978.58 / $6,002.75	Facility		$382.00	$1,978.58	$6,002.75
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $859.50 / $859.50 / $1,702.18	Facility	50	$859.50	$859.50	$1,702.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $125.94 / $216.26	Professional		$72.97	$125.94	$216.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $52.09 / $73.45	Professional		$40.36	$52.09	$73.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,078.42 / $2,154.98 / $4,213.88	Facility		$1,078.42	$2,154.98	$4,213.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $137.87 / $225.78	Professional		$72.39	$137.87	$225.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $655.16 / $1,716.27	Facility		$192.00	$655.16	$1,716.27
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $217.46 / $296.35	Professional		$160.19	$217.46	$296.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $73.75 / $1,079.34 / $1,079.34	Facility		$73.75	$1,079.34	$1,079.34
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 $87.73 / $144.54 / $249.44	Professional		$87.73	$144.54	$249.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $582.48 / $12,000.00 / $12,000.00	Facility		$582.48	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,242.72 / $1,436.85	Professional		$1,100.00	$1,242.72	$1,436.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $154.34 / $268.37	Facility		$83.30	$154.34	$268.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.22 / $183.24 / $299.83	Professional		$107.22	$183.24	$299.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $168.49 / $342.40	Professional		$82.59	$168.49	$342.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $155.00 / $271.48	Facility		$83.30	$155.00	$271.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $149.88 / $269.36	Professional		$88.54	$149.88	$269.36
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $140.93 / $221.91	Professional		$102.50	$140.93	$221.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.16 / $160.19 / $225.83	Professional		$142.16	$160.19	$225.83