Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.97 / $1,937.00 / $6,000.00	Facility		$267.97	$1,937.00	$6,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $901.01 / $973.09 / $4,017.75	Facility	50	$901.01	$973.09	$4,017.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $189.33 / $351.79	Professional		$62.03	$189.33	$351.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.32 / $287.30 / $1,687.50	Professional	50	$97.32	$287.30	$1,687.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $82.47 / $280.83	Professional		$60.18	$82.47	$280.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $241.85 / $241.85 / $366.23	Professional	50	$241.85	$241.85	$366.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.43 / $1,013.00 / $3,989.00	Facility		$182.43	$1,013.00	$3,989.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $182.88 / $328.45	Professional		$58.94	$182.88	$328.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $891.00 / $8,000.00	Facility		$66.37	$891.00	$8,000.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $98.45 / $276.41	Professional		$65.15	$98.45	$276.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $57.13 / $516.26 / $516.26	Facility		$57.13	$516.26	$516.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $114.34 / $114.34	Facility		$114.34	$114.34	$114.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $152.61 / $362.90	Professional		$73.61	$152.61	$362.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $457.41	Facility		$55.00	$55.00	$457.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $928.79 / $2,060.00 / $2,093.33	Professional		$928.79	$2,060.00	$2,093.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.68 / $181.12 / $368.54	Facility		$64.68	$181.12	$368.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $120.32 / $430.72	Professional		$84.10	$120.32	$430.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $465.84 / $2,499.00 / $6,094.00	Facility		$465.84	$2,499.00	$6,094.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $230.34 / $507.60	Professional		$63.83	$230.34	$507.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.70 / $181.93 / $383.20	Facility		$64.70	$181.93	$383.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $163.62 / $389.81	Professional		$74.81	$163.62	$389.81
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.18 / $211.70 / $339.56	Professional		$154.18	$211.70	$339.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.94 / $230.34 / $327.54	Professional		$205.94	$230.34	$327.54