Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,522.00 / $10,836.00	Facility		$803.00	$3,522.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.33 / $373.61 / $581.97	Professional		$326.33	$373.61	$581.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $321.33 / $321.33	Professional		$321.33	$321.33	$321.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,156.99 / $7,588.92 / $14,694.48	Facility		$4,156.99	$7,588.92	$14,694.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.77 / $435.57 / $606.85	Professional		$341.77	$435.57	$606.85
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,288.00 / $5,720.64	Facility		$557.00	$2,288.00	$5,720.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $325.89 / $325.89 / $325.89	Facility		$325.89	$325.89	$325.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.82 / $4,105.82 / $9,229.00	Facility		$4,105.82	$4,105.82	$9,229.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.52 / $507.87 / $768.42	Professional		$373.52	$507.87	$768.42
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 $2,806.88 / $2,806.88 / $3,147.90	Professional		$2,806.88	$2,806.88	$3,147.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $361.58 / $482.40 / $814.68	Facility		$361.58	$482.40	$814.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $471.81 / $555.28 / $653.27	Professional		$471.81	$555.28	$653.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $539.60 / $539.60 / $539.60	Professional		$539.60	$539.60	$539.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.58 / $486.05 / $963.17	Facility		$361.58	$486.05	$963.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.52 / $523.04 / $787.77	Professional		$373.52	$523.04	$787.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,350.00 / $16,000.00	Facility		$2,608.00	$7,350.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.08 / $409.90 / $649.86	Professional		$297.08	$409.90	$649.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.75 / $353.13 / $488.74	Professional		$309.75	$353.13	$488.74