Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.93 / $1,963.00 / $6,386.00	Facility		$164.93	$1,963.00	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $133.81 / $227.53	Professional		$36.14	$133.81	$227.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $42.03 / $83.15	Professional		$17.32	$42.03	$83.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $97.04 / $277.05	Professional		$34.03	$97.04	$277.05
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $325.95 / $2,150.69	Facility		$125.00	$325.95	$2,150.69
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $49.34 / $79.45	Professional		$35.31	$49.34	$79.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $34.31 / $80.00	Facility		$31.74	$34.31	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $62.62 / $62.62	Facility		$62.62	$62.62	$62.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $97.00 / $280.33	Professional		$42.04	$97.00	$280.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $140.97 / $317.77	Facility		$55.00	$140.97	$317.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.25 / $1,248.08 / $1,460.63	Professional		$645.25	$1,248.08	$1,460.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $132.50 / $245.15	Facility		$36.57	$132.50	$245.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $197.30 / $312.85	Professional		$45.84	$197.30	$312.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $109.18 / $306.89	Professional		$20.76	$109.18	$306.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $132.50 / $253.74	Facility		$36.69	$132.50	$253.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $117.35 / $367.52	Professional		$44.29	$117.35	$367.52
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.46 / $172.87 / $282.66	Professional		$128.46	$172.87	$282.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.55 / $160.28 / $228.39	Professional		$143.55	$160.28	$228.39