Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.01 / $2,232.27 / $5,906.00	Facility		$461.01	$2,232.27	$5,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $192.36 / $335.84	Professional		$80.53	$192.36	$335.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.67 / $88.40 / $203.54	Professional		$69.67	$88.40	$203.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.04 / $1,000.08 / $2,187.42	Facility		$600.04	$1,000.08	$2,187.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $164.85 / $296.07	Professional		$69.43	$164.85	$296.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $594.79 / $2,061.44 / $8,000.00	Facility		$594.79	$2,061.44	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $132.59 / $184.41	Professional		$81.96	$132.59	$184.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $606.79 / $606.79	Facility		$72.70	$606.79	$606.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.91 / $191.27 / $419.09	Professional		$94.91	$191.27	$419.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $493.70	Facility		$55.00	$55.00	$493.70
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $306.41 / $329.08 / $329.08	Facility	52	$306.41	$329.08	$329.08
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $76.59 / $82.27 / $82.27	Facility	53	$76.59	$82.27	$82.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $620.48 / $1,582.00 / $1,832.25	Professional		$620.48	$1,582.00	$1,832.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $191.91 / $323.41	Facility		$80.53	$191.91	$323.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $248.90 / $394.67	Professional		$104.35	$248.90	$394.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $165.49 / $424.00	Professional		$86.10	$165.49	$424.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $193.16 / $329.66	Facility		$80.53	$193.16	$329.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.65 / $230.91 / $527.94	Professional		$100.65	$230.91	$527.94
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,714.00	Facility		$374.00	$1,529.00	$3,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.96 / $291.45 / $466.19	Professional		$211.96	$291.45	$466.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $212.00 / $287.86	Professional		$181.10	$212.00	$287.86