Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,090.30 / $8,317.64	Facility		$707.95	$3,090.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $1,000.00	Professional		$229.09	$281.84	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $229.09 / $1,047.13	Professional		$218.78	$229.09	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $9,332.54	Facility		$2,570.40	$4,786.30	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $380.19	Professional		$218.78	$281.84	$380.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,548.13 / $7,585.78	Facility		$549.54	$3,548.13	$7,585.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $537.03	Professional		$478.63	$478.63	$537.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,884.03 / $2,884.03	Facility		$213.80	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $549.54	Professional		$251.19	$331.13	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $28,840.32 / $28,840.32	Facility		$9,332.54	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $575.44 / $4,677.35	Facility		$239.88	$575.44	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $691.83	Professional		$234.42	$316.23	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $501.19 / $691.83	Professional		$5.01	$501.19	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $331.13 / $575.44	Facility		$229.09	$331.13	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $537.03	Professional		$245.47	$331.13	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $436.52	Professional		$204.17	$281.84	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $223.87	Professional		$208.93	$223.87	$223.87