Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,500.00 / $7,497.00	Facility		$488.00	$2,500.00	$7,497.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.30 / $2,673.93 / $4,231.39	Professional		$159.30	$2,673.93	$4,231.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,507.55 / $3,507.55 / $3,507.55	Professional		$3,507.55	$3,507.55	$3,507.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,706.03 / $6,643.64 / $12,785.80	Facility		$3,706.03	$6,643.64	$12,785.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $2,213.86 / $4,467.08	Professional		$149.44	$2,213.86	$4,467.08
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,664.08 / $5,966.78 / $7,221.97	Facility		$2,664.08	$5,966.78	$7,221.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $324.56 / $357.89 / $357.89	Professional		$324.56	$357.89	$357.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $140.88 / $3,943.68 / $3,943.68	Facility		$140.88	$3,943.68	$3,943.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,603.63 / $5,603.63 / $5,603.63	Facility		$5,603.63	$5,603.63	$5,603.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.03 / $396.14 / $5,680.60	Professional		$184.03	$396.14	$5,680.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,121.88	Facility		$55.00	$55.00	$1,121.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,269.87 / $19,541.36 / $23,097.38	Professional		$10,269.87	$19,541.36	$23,097.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.79 / $2,129.58 / $5,012.92	Facility		$158.79	$2,129.58	$5,012.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.47 / $2,910.18 / $4,762.12	Professional		$206.47	$2,910.18	$4,762.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,082.00 / $5,082.00 / $5,082.00	Professional		$5,082.00	$5,082.00	$5,082.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.79 / $2,236.06 / $7,136.81	Facility		$158.79	$2,236.06	$7,136.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.34 / $497.49 / $5,907.69	Professional		$187.34	$497.49	$5,907.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $16,000.00	Facility		$2,605.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,712.00 / $3,774.39 / $6,103.49	Professional		$2,712.00	$3,774.39	$6,103.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,257.96 / $2,505.39 / $3,595.41	Professional		$2,257.96	$2,505.39	$3,595.41