Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.77 / $1,900.00 / $6,762.00	Facility		$98.77	$1,900.00	$6,762.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $336.50 / $473.00 / $653.50	Facility	50	$336.50	$473.00	$653.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $91.06 / $160.00	Professional		$55.07	$91.06	$160.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.74 / $91.74 / $91.74	Professional	50	$91.74	$91.74	$91.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $69.59 / $117.20	Professional		$69.59	$69.59	$117.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $530.99 / $981.33 / $2,097.44	Facility		$530.99	$981.33	$2,097.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $88.99 / $128.22	Professional		$53.53	$88.99	$128.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $111.20 / $217.64 / $4,100.00	Facility		$111.20	$217.64	$4,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $66.86 / $110.46	Professional		$56.90	$66.86	$110.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $51.67 / $718.28 / $718.28	Facility		$51.67	$718.28	$718.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.02 / $100.02 / $100.02	Facility		$100.02	$100.02	$100.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $114.34 / $219.15	Professional		$67.11	$114.34	$219.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $266.43 / $11,500.00 / $12,000.00	Facility		$266.43	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,297.00 / $1,340.00 / $1,340.00	Professional		$1,297.00	$1,340.00	$1,340.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.83 / $102.55 / $240.66	Facility		$57.83	$102.55	$240.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $111.93 / $177.48	Professional		$74.01	$111.93	$177.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $105.30 / $213.25	Professional		$58.30	$105.30	$213.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.25 / $102.96 / $243.73	Facility		$58.25	$102.96	$243.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $118.25 / $219.73	Professional		$67.92	$118.25	$219.73
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.15 / $120.30 / $214.75	Professional		$85.15	$120.30	$214.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $92.05 / $129.24	Professional		$81.44	$92.05	$129.24