Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.67 / $2,496.00 / $6,021.00	Facility		$470.67	$2,496.00	$6,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $362.05 / $508.26	Professional		$135.94	$362.05	$508.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.02 / $179.02 / $179.02	Professional		$179.02	$179.02	$179.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,626.93 / $2,834.48 / $5,863.83	Facility		$1,626.93	$2,834.48	$5,863.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.47 / $301.64 / $588.38	Professional		$127.47	$301.64	$588.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $588.72 / $2,075.35 / $6,423.22	Facility		$588.72	$2,075.35	$6,423.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $177.07 / $279.14	Professional		$136.21	$177.07	$279.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $124.86 / $1,650.94 / $1,650.94	Facility		$124.86	$1,650.94	$1,650.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.85 / $1,377.85 / $1,377.85	Facility		$1,377.85	$1,377.85	$1,377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.79 / $373.30 / $693.02	Professional		$153.79	$373.30	$693.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $688.61 / $16,394.00 / $16,394.00	Facility		$688.61	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,610.89 / $3,502.01 / $3,607.07	Professional		$1,610.89	$3,502.01	$3,607.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.44 / $356.50 / $828.27	Facility		$141.44	$356.50	$828.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.03 / $446.16 / $617.76	Professional		$177.03	$446.16	$617.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $401.40 / $401.40 / $401.40	Professional		$401.40	$401.40	$401.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.44 / $360.36 / $852.45	Facility		$141.44	$360.36	$852.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $390.98 / $723.11	Professional		$158.41	$390.98	$723.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.72 / $457.38 / $748.45	Professional		$316.72	$457.38	$748.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $292.91 / $328.82 / $465.30	Professional		$292.91	$328.82	$465.30