Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.00 / $2,538.00 / $7,272.00	Facility		$592.00	$2,538.00	$7,272.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.86 / $469.93 / $1,127.36	Professional		$224.86	$469.93	$1,127.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.96 / $233.52 / $666.96	Professional		$208.96	$233.52	$666.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.48 / $1,576.63 / $3,371.00	Facility		$881.48	$1,576.63	$3,371.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.41 / $652.77 / $1,062.86	Professional		$214.41	$652.77	$1,062.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $1,170.98 / $5,069.04	Facility		$278.10	$1,170.98	$5,069.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $766.18 / $1,102.79 / $1,392.55	Professional		$766.18	$1,102.79	$1,392.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $205.83 / $676.04 / $676.04	Facility		$205.83	$676.04	$676.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $3,125.00	Facility		$684.87	$908.58	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.11 / $603.74 / $1,295.77	Professional		$252.11	$603.74	$1,295.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,352.15	Facility		$55.00	$55.00	$1,352.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,981.48 / $5,677.60 / $6,687.30	Professional		$2,981.48	$5,677.60	$6,687.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.82 / $659.63 / $1,263.41	Facility		$226.82	$659.63	$1,263.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $293.10 / $767.91 / $1,382.24	Professional		$293.10	$767.91	$1,382.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.81 / $766.85 / $1,533.70	Professional		$224.81	$766.85	$1,533.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.82 / $692.20 / $1,387.32	Facility		$226.82	$692.20	$1,387.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.30 / $687.28 / $1,813.74	Professional		$267.30	$687.28	$1,813.74
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.35 / $818.81 / $1,355.93	Professional		$571.35	$818.81	$1,355.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $655.39 / $766.18 / $1,041.08	Professional		$655.39	$766.18	$1,041.08