Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.02 / $2,474.00 / $7,316.00	Facility		$278.02	$2,474.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $231.99 / $369.92	Professional		$129.88	$231.99	$369.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $58.84 / $58.84	Professional		$58.84	$58.84	$58.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.38 / $284.14 / $1,100.00	Facility		$166.38	$284.14	$1,100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $218.21 / $337.39	Professional		$123.74	$218.21	$337.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $128.32 / $171.93 / $270.14	Professional		$128.32	$171.93	$270.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $126.64 / $126.64 / $285.92	Facility		$126.64	$126.64	$285.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.70 / $267.45 / $2,530.00	Facility		$225.70	$267.45	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $275.25 / $450.00	Professional		$147.65	$275.25	$450.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $955.20	Facility		$55.00	$55.00	$955.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.15 / $1,904.88 / $2,239.35	Professional		$1,008.15	$1,904.88	$2,239.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.21 / $235.34 / $394.89	Facility		$131.21	$235.34	$394.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.99 / $296.10 / $463.46	Professional		$171.99	$296.10	$463.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.71 / $282.56 / $568.10	Professional		$141.71	$282.56	$568.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.21 / $242.56 / $425.61	Facility		$131.21	$242.56	$425.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.28 / $296.52 / $556.26	Professional		$154.28	$296.52	$556.26
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 $200.03 / $271.95 / $430.19	Professional		$200.03	$271.95	$430.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.75 / $256.87 / $348.72	Professional		$219.75	$256.87	$348.72