Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,290.87 / $6,918.31	Facility		$630.96	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $323.59 / $954.99	Professional		$69.18	$323.59	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $79.43 / $104.71	Professional		$50.12	$79.43	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $4,786.30	Facility		$1,412.54	$2,511.89	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $338.84 / $676.08	Professional		$56.23	$338.84	$676.08
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,513.56 / $5,011.87	Facility		$69.18	$1,513.56	$5,011.87
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $151.36	Professional		$72.44	$112.20	$151.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $512.86	Facility		$51.29	$51.29	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,148.15 / $1,445.44	Facility		$120.23	$1,148.15	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $208.93 / $1,000.00	Professional		$77.62	$208.93	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,897.79	Facility		$54.95	$56.23	$4,897.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $4,677.35	Professional		$3,981.07	$4,677.35	$4,677.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $537.03 / $1,288.25	Facility		$70.79	$537.03	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $426.58 / $954.99	Professional		$67.61	$426.58	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $57.54	Professional		$32.36	$33.11	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $1,148.15 / $1,698.24	Professional		$109.65	$1,148.15	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $316.23 / $1,023.29	Facility		$70.79	$316.23	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $208.93 / $1,047.13	Professional		$77.62	$208.93	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $363.08 / $831.76	Professional		$66.07	$363.08	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $524.81 / $602.56	Professional		$52.48	$524.81	$602.56