Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.39 / $2,565.08 / $6,950.33	Facility		$469.39	$2,565.08	$6,950.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.22 / $288.39 / $509.22	Professional		$235.22	$288.39	$509.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.76 / $258.87 / $353.18	Professional		$220.76	$258.87	$353.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,036.37 / $3,847.07 / $7,494.30	Facility		$2,036.37	$3,847.07	$7,494.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.33 / $279.80 / $450.05	Professional		$205.33	$279.80	$450.05
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $713.60 / $3,097.38 / $6,372.00	Facility		$713.60	$3,097.38	$6,372.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $278.99 / $278.99 / $436.68	Professional		$278.99	$278.99	$436.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $225.90 / $2,592.92 / $2,592.92	Facility		$225.90	$2,592.92	$2,592.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,403.30 / $2,403.30 / $2,403.30	Facility		$2,403.30	$2,403.30	$2,403.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.63 / $362.25 / $559.54	Professional		$261.63	$362.25	$559.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,285.16 / $16,394.00 / $20,000.00	Facility		$1,285.16	$16,394.00	$20,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,849.36 / $2,260.36 / $2,556.67	Professional		$1,849.36	$2,260.36	$2,556.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.66 / $341.40 / $597.05	Facility		$256.66	$341.40	$597.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $325.05 / $412.09 / $529.83	Professional		$325.05	$412.09	$529.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,078.45 / $1,453.03 / $5,743.11	Facility		$1,078.45	$1,453.03	$5,743.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $393.40 / $393.40 / $393.40	Professional		$393.40	$393.40	$393.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.66 / $349.22 / $677.64	Facility		$256.66	$349.22	$677.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.72 / $369.95 / $612.03	Professional		$269.72	$369.95	$612.03
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 $223.31 / $306.75 / $492.39	Professional		$223.31	$306.75	$492.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.22 / $284.48 / $397.33	Professional		$251.22	$284.48	$397.33