Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.98 / $2,474.00 / $7,153.24	Facility		$475.98	$2,474.00	$7,153.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $417.85 / $612.29	Professional		$275.52	$417.85	$612.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $329.99 / $329.99 / $329.99	Professional		$329.99	$329.99	$329.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,289.12 / $4,739.10 / $9,448.03	Facility		$2,289.12	$4,739.10	$9,448.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $407.54 / $673.86	Professional		$259.27	$407.54	$673.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $638.78 / $3,238.51 / $6,123.18	Facility		$638.78	$3,238.51	$6,123.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $249.17 / $249.17 / $249.17	Facility		$249.17	$249.17	$249.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.36 / $473.19 / $750.16	Professional		$304.36	$473.19	$750.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,383.82 / $16,394.00 / $16,394.00	Facility		$1,383.82	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,066.64 / $3,040.08 / $3,505.28	Professional		$2,066.64	$3,040.08	$3,505.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $286.57 / $445.35 / $782.06	Facility		$286.57	$445.35	$782.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $357.85 / $512.00 / $733.03	Professional		$357.85	$512.00	$733.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $179.20 / $179.20 / $179.20	Professional		$179.20	$179.20	$179.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $286.57 / $447.33 / $830.08	Facility		$286.57	$447.33	$830.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.31 / $485.00 / $814.41	Professional		$310.31	$485.00	$814.41
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.83 / $440.32 / $716.80	Professional		$321.83	$440.32	$716.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $347.57 / $394.29 / $550.88	Professional		$347.57	$394.29	$550.88