Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.42 / $2,017.00 / $6,762.00	Facility		$297.42	$2,017.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.82 / $202.30 / $371.62	Professional		$137.82	$202.30	$371.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $220.36 / $246.91	Professional		$192.32	$220.36	$246.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.22 / $233.22 / $1,195.58	Facility		$140.22	$233.22	$1,195.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.02 / $213.62 / $339.95	Professional		$144.02	$213.62	$339.95
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $170.85 / $248.19 / $265.44	Facility		$170.85	$248.19	$265.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $246.91 / $345.67 / $459.25	Professional		$246.91	$345.67	$459.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $157.97 / $303.00 / $303.00	Facility		$157.97	$303.00	$303.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $236.81 / $372.96	Professional		$160.91	$236.81	$372.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $841.51	Facility		$55.00	$55.00	$841.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,246.56 / $1,852.56 / $2,258.03	Professional		$1,246.56	$1,852.56	$2,258.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $210.82 / $393.93	Facility		$143.87	$210.82	$393.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $225.39 / $322.49 / $447.20	Professional		$225.39	$322.49	$447.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $181.20 / $181.20 / $181.20	Professional		$181.20	$181.20	$181.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $213.11 / $435.61	Facility		$143.87	$213.11	$435.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $244.33 / $422.98	Professional		$163.16	$244.33	$422.98
United Facility/Professional Facility Modifier Low / Median / High Price $419.80 / $2,543.00 / $9,024.00	Facility		$419.80	$2,543.00	$9,024.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $215.09 / $346.94	Professional		$144.86	$215.09	$346.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.10 / $246.91 / $343.08	Professional		$218.10	$246.91	$343.08