Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.73 / $2,145.71 / $6,762.00	Facility		$456.73	$2,145.71	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $313.43 / $507.48	Professional		$67.31	$313.43	$507.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $65.84 / $128.40	Professional		$59.92	$65.84	$128.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,130.00 / $4,664.01 / $9,172.54	Facility		$2,130.00	$4,664.01	$9,172.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $313.77 / $645.44	Professional		$63.43	$313.77	$645.44
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $602.96 / $2,061.44 / $4,436.24	Facility		$602.96	$2,061.44	$4,436.24
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $95.22 / $116.76	Professional		$95.22	$95.22	$116.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $60.89 / $60.89 / $400.43	Facility		$60.89	$60.89	$400.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $118.37 / $118.37	Facility		$118.37	$118.37	$118.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $228.28 / $634.01	Professional		$83.58	$228.28	$634.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $739.75	Facility		$55.00	$55.00	$739.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,502.11 / $2,905.60 / $3,414.83	Professional		$1,502.11	$2,905.60	$3,414.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $278.43 / $605.45	Facility		$67.31	$278.43	$605.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $490.45 / $933.56	Professional		$87.46	$490.45	$933.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $458.15 / $826.70	Professional		$76.81	$458.15	$826.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $279.86 / $649.20	Facility		$67.31	$279.86	$649.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $265.13 / $832.46	Professional		$86.96	$265.13	$832.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.20 / $416.45 / $674.25	Professional		$317.20	$416.45	$674.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $334.87 / $373.05 / $532.89	Professional		$334.87	$373.05	$532.89