Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.86 / $1,978.00 / $6,386.00	Facility		$333.86	$1,978.00	$6,386.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $206.15 / $292.43	Professional		$121.51	$206.15	$292.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.28 / $375.69 / $382.05	Professional		$239.28	$375.69	$382.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.06 / $375.84 / $838.59	Facility		$209.06	$375.84	$838.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.90 / $202.67 / $341.11	Professional		$121.90	$202.67	$341.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $104.56 / $158.50 / $2,197.00	Facility		$104.56	$158.50	$2,197.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $127.35 / $182.33 / $417.32	Professional		$127.35	$182.33	$417.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $340.80 / $340.80	Facility		$126.98	$340.80	$340.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.61 / $187.61 / $187.61	Facility		$187.61	$187.61	$187.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $234.91 / $375.21	Professional		$146.63	$234.91	$375.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $652.60 / $12,000.00 / $12,000.00	Facility		$652.60	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.00 / $1,600.88 / $1,879.50	Professional		$1,118.00	$1,600.88	$1,879.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.72 / $234.18 / $419.93	Facility		$136.72	$234.18	$419.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.47 / $242.47 / $378.70	Professional		$169.47	$242.47	$378.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.80 / $234.80 / $234.80	Professional		$234.80	$234.80	$234.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.72 / $237.23 / $450.50	Facility		$136.72	$237.23	$450.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.07 / $240.46 / $405.86	Professional		$151.07	$240.46	$405.86
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $235.20 / $372.40	Professional		$165.83	$235.20	$372.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.69 / $208.66 / $292.39	Professional		$184.69	$208.66	$292.39