Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.00 / $1,839.00 / $6,386.00	Facility		$178.00	$1,839.00	$6,386.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $980.04 / $2,387.34 / $6,467.64	Facility	50	$980.04	$2,387.34	$6,467.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $155.43 / $267.86	Professional		$82.95	$155.43	$267.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $124.44 / $271.77 / $835.65	Professional	50	$124.44	$271.77	$835.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $111.93 / $201.53	Professional		$41.05	$111.93	$201.53
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $136.82 / $173.53 / $287.56	Professional	50	$136.82	$173.53	$287.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $719.23 / $1,258.68 / $2,720.37	Facility		$719.23	$1,258.68	$2,720.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $141.08 / $224.83	Professional		$80.20	$141.08	$224.83
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $88.42 / $1,585.87 / $3,228.35	Facility		$88.42	$1,585.87	$3,228.35
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $101.51 / $197.66	Professional		$57.50	$101.51	$197.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.05 / $957.23 / $957.23	Facility		$80.05	$957.23	$957.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $153.97 / $153.97	Facility		$153.97	$153.97	$153.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $187.13 / $308.14	Professional		$99.97	$187.13	$308.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $452.96 / $30,000.00	Facility		$55.00	$452.96	$30,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $3,100.00 / $3,100.00	Professional		$776.25	$3,100.00	$3,100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.45 / $168.58 / $297.33	Facility		$88.45	$168.58	$297.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $201.85 / $320.07	Professional		$114.80	$201.85	$320.07
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $149.99 / $184.08 / $719.55	Professional	50	$149.99	$184.08	$719.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,097.29 / $2,499.00 / $6,086.32	Facility		$1,097.29	$2,499.00	$6,086.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $172.02 / $248.21	Professional		$88.45	$172.02	$248.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.63 / $168.58 / $289.22	Facility		$88.63	$168.58	$289.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $188.70 / $332.91	Professional		$99.97	$188.70	$332.91
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $51.53 / $54.23 / $65.15	Professional	80	$51.53	$54.23	$65.15
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 $135.13 / $186.19 / $324.35	Professional		$135.13	$186.19	$324.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.87 / $165.27 / $233.29	Professional		$146.87	$165.27	$233.29