Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.00 / $2,500.00 / $7,408.00	Facility		$647.00	$2,500.00	$7,408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.44 / $558.66 / $908.51	Professional		$125.44	$558.66	$908.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.31 / $215.31 / $215.31	Professional		$215.31	$215.31	$215.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,620.04 / $4,757.29 / $9,421.29	Facility		$2,620.04	$4,757.29	$9,421.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $489.82 / $820.48	Professional		$117.89	$489.82	$820.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $123.15 / $135.47 / $282.47	Professional		$123.15	$135.47	$282.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $113.18 / $4,266.00 / $4,266.00	Facility		$113.18	$4,266.00	$4,266.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.38 / $2,418.96 / $6,644.00	Facility		$1,823.38	$2,418.96	$6,644.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $327.89 / $1,232.97	Professional		$151.44	$327.89	$1,232.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,004.29	Facility		$55.00	$55.00	$1,004.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,266.33 / $4,370.47 / $5,126.03	Professional		$2,266.33	$4,370.47	$5,126.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.57 / $501.40 / $1,052.19	Facility		$126.57	$501.40	$1,052.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $648.65 / $1,061.42	Professional		$163.15	$648.65	$1,061.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $511.40 / $1,807.90	Professional		$4.00	$511.40	$1,807.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.57 / $523.39 / $1,223.13	Facility		$126.57	$523.39	$1,223.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.58 / $373.90 / $1,416.34	Professional		$156.58	$373.90	$1,416.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,330.00 / $10,600.00	Facility		$1,634.00	$4,330.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.45 / $812.00 / $1,305.75	Professional		$599.45	$812.00	$1,305.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $503.27 / $588.73 / $800.50	Professional		$503.27	$588.73	$800.50