Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.09 / $2,512.00 / $6,182.26	Facility		$461.09	$2,512.00	$6,182.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.16 / $273.43 / $471.50	Professional		$218.16	$273.43	$471.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.72 / $201.72 / $221.67	Professional		$201.72	$201.72	$221.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,023.00 / $3,822.09 / $7,494.30	Facility		$2,023.00	$3,822.09	$7,494.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.09 / $276.82 / $450.71	Professional		$208.09	$276.82	$450.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $1,421.99 / $2,505.25	Facility		$147.18	$1,421.99	$2,505.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $254.92 / $254.92 / $399.01	Professional		$254.92	$254.92	$399.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $205.36 / $3,023.09 / $3,023.09	Facility		$205.36	$3,023.09	$3,023.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,403.30 / $2,403.30 / $4,558.00	Facility		$2,403.30	$2,403.30	$4,558.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.48 / $336.62 / $545.15	Professional		$242.48	$336.62	$545.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,163.04 / $16,394.00 / $16,394.00	Facility		$1,163.04	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,686.64 / $2,137.60 / $2,512.19	Professional		$1,686.64	$2,137.60	$2,512.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $235.09 / $313.01 / $584.13	Facility		$235.09	$313.01	$584.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $296.45 / $376.27 / $520.52	Professional		$296.45	$376.27	$520.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $247.75 / $327.90 / $366.35	Professional		$247.75	$327.90	$366.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.09 / $314.16 / $609.75	Facility		$235.09	$314.16	$609.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.26 / $347.81 / $597.97	Professional		$246.26	$347.81	$597.97
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 $217.53 / $296.89 / $485.40	Professional		$217.53	$296.89	$485.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $246.81 / $279.45 / $390.34	Professional		$246.81	$279.45	$390.34