Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,454.71 / $6,918.31	Facility		$457.09	$2,454.71	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $218.78	Professional		$64.57	$123.03	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $141.25	Professional		$91.20	$91.20	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,630.27 / $4,265.80	Facility		$1,023.29	$2,630.27	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $154.88	Professional		$48.98	$91.20	$154.88
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $346.74 / $354.81	Professional		$28.18	$346.74	$354.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $56.23	Facility		$54.95	$54.95	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $141.25 / $251.19	Professional		$75.86	$141.25	$251.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $426.58	Facility		$54.95	$56.23	$426.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $165.96 / $3,715.35	Facility		$66.07	$165.96	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $263.03	Professional		$66.07	$131.83	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $537.03	Professional		$204.17	$263.03	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $138.04 / $257.04	Facility		$63.10	$138.04	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $141.25 / $257.04	Professional		$74.13	$141.25	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $213.80	Professional		$64.57	$120.23	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $147.91	Professional		$141.25	$147.91	$147.91