Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,500.00 / $9,455.67	Facility		$797.00	$3,500.00	$9,455.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.63 / $412.47 / $1,010.84	Professional		$327.63	$412.47	$1,010.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $418.68 / $418.68 / $418.68	Professional		$418.68	$418.68	$418.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,673.52 / $6,706.32 / $13,668.93	Facility		$3,673.52	$6,706.32	$13,668.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.62 / $285.10 / $565.41	Professional		$252.62	$285.10	$565.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $623.00 / $4,747.47 / $10,885.77	Facility		$623.00	$4,747.47	$10,885.77
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $389.18 / $389.18 / $609.16	Professional		$389.18	$389.18	$609.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $308.69 / $5,630.92 / $5,630.92	Facility		$308.69	$5,630.92	$5,630.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,194.69 / $3,194.69 / $7,878.00	Facility		$3,194.69	$3,194.69	$7,878.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.07 / $559.78 / $1,022.97	Professional		$364.07	$559.78	$1,022.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,725.84 / $7,725.84 / $7,725.84	Professional		$7,725.84	$7,725.84	$7,725.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.74 / $676.99 / $1,046.86	Facility		$344.74	$676.99	$1,046.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.94 / $529.54 / $623.00	Professional		$449.94	$529.54	$623.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.00 / $2,499.00 / $5,735.26	Facility		$1,659.00	$2,499.00	$5,735.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $796.10 / $796.10 / $796.10	Professional		$796.10	$796.10	$796.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.74 / $714.79 / $1,052.89	Facility		$344.74	$714.79	$1,052.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.07 / $559.78 / $1,020.44	Professional		$364.07	$559.78	$1,020.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.49 / $517.88 / $831.38	Professional		$321.49	$517.88	$831.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.39 / $338.42 / $465.37	Professional		$295.39	$338.42	$465.37