Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.29 / $2,335.00 / $6,189.00	Facility		$500.29	$2,335.00	$6,189.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $440.99 / $707.27	Professional		$218.40	$440.99	$707.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.72 / $261.02 / $478.45	Professional		$208.72	$261.02	$478.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $861.48 / $1,546.50 / $3,313.93	Facility		$861.48	$1,546.50	$3,313.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.99 / $410.62 / $625.79	Professional		$206.99	$410.62	$625.79
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,194.52 / $3,941.85	Facility		$545.00	$1,194.52	$3,941.85
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $83.98 / $267.45 / $406.52	Professional		$83.98	$267.45	$406.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $199.85 / $1,455.10 / $1,455.10	Facility		$199.85	$1,455.10	$1,455.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $2,213.00	Facility		$684.87	$908.58	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.68 / $472.16 / $828.93	Professional		$260.68	$472.16	$828.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,279.15 / $11,500.00 / $16,394.00	Facility		$1,279.15	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.00 / $3,456.08 / $4,059.83	Professional		$1,906.00	$3,456.08	$4,059.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.33 / $488.44 / $817.01	Facility		$231.33	$488.44	$817.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.88 / $440.82 / $840.74	Professional		$256.88	$440.82	$840.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $170.57 / $1,215.00 / $2,896.00	Facility		$170.57	$1,215.00	$2,896.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.30 / $466.64 / $942.29	Professional		$218.30	$466.64	$942.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.60 / $491.64 / $872.80	Facility		$231.60	$491.64	$872.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.23 / $510.51 / $1,026.39	Professional		$269.23	$510.51	$1,026.39
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.63 / $512.70 / $826.50	Professional		$390.63	$512.70	$826.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.64 / $465.90 / $632.11	Professional		$398.64	$465.90	$632.11