Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.12 / $2,080.00 / $7,316.00	Facility		$274.12	$2,080.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.64 / $209.91 / $316.29	Professional		$126.64	$209.91	$316.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.52 / $122.52 / $249.45	Professional		$122.52	$122.52	$249.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.55 / $238.16 / $908.58	Facility		$143.55	$238.16	$908.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.35 / $209.08 / $354.28	Professional		$120.35	$209.08	$354.28
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $88.83 / $88.83	Professional		$88.83	$88.83	$88.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $115.68 / $2,973.84 / $2,973.84	Facility		$115.68	$2,973.84	$2,973.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.48 / $234.02 / $1,652.00	Facility		$197.48	$234.02	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.04 / $237.48 / $406.46	Professional		$139.04	$237.48	$406.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $921.48	Facility		$55.00	$55.00	$921.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $943.04 / $1,632.56 / $1,913.10	Professional		$943.04	$1,632.56	$1,913.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.65 / $214.41 / $361.56	Facility		$128.65	$214.41	$361.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $253.32 / $396.50	Professional		$164.84	$253.32	$396.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $231.10 / $623.00	Professional		$5.00	$231.10	$623.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $216.59 / $381.03	Facility		$128.72	$216.59	$381.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $260.94 / $475.07	Professional		$147.88	$260.94	$475.07
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,054.00 / $4,475.00	Facility		$597.00	$2,054.00	$4,475.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.01 / $234.99 / $371.15	Professional		$173.01	$234.99	$371.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $219.84 / $298.54	Professional		$188.00	$219.84	$298.54