Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,019.95 / $7,943.28	Facility		$794.33	$3,019.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $691.83	Professional		$295.12	$363.08	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $302.00 / $446.68	Professional		$134.90	$302.00	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $575.44 / $1,621.81	Facility		$338.84	$575.44	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $537.03	Professional		$309.03	$389.05	$537.03
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $489.78	Professional		$245.47	$245.47	$489.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $707.95	Professional		$338.84	$446.68	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,265.80	Facility		$54.95	$56.23	$4,265.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,884.03 / $2,884.03	Professional		$2,818.38	$2,884.03	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $645.65 / $4,466.84	Facility		$323.59	$645.65	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $707.95	Professional		$316.23	$426.58	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $38.90	Professional		$32.36	$33.11	$38.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $645.65 / $870.96	Professional		$6.03	$645.65	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $436.52 / $758.58	Facility		$302.00	$436.52	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $707.95	Professional		$338.84	$446.68	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $575.44	Professional		$275.42	$371.54	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $316.23 / $316.23	Professional		$295.12	$316.23	$316.23