Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.03 / $3,580.00 / $12,281.00	Facility		$416.03	$3,580.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $366.00 / $751.65	Professional		$274.64	$366.00	$751.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.93 / $290.26 / $694.09	Professional		$274.93	$290.26	$694.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.13 / $272.57 / $1,049.15	Facility		$161.13	$272.57	$1,049.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.38 / $315.19 / $450.10	Professional		$249.38	$315.19	$450.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $285.95 / $335.28 / $511.37	Professional		$285.95	$335.28	$511.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $231.45 / $231.45 / $302.87	Facility		$231.45	$231.45	$302.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.67 / $204.67 / $211.36	Facility		$204.67	$204.67	$211.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.91 / $380.67 / $1,071.38	Professional		$276.91	$380.67	$1,071.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,181.48 / $9,102.00 / $11,500.00	Facility		$2,181.48	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,252.00 / $4,446.43 / $4,446.43	Professional		$3,252.00	$4,446.43	$4,446.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $274.93 / $537.62 / $1,193.07	Facility		$274.93	$537.62	$1,193.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $290.35 / $395.93 / $483.91	Professional		$290.35	$395.93	$483.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $267.60 / $330.27 / $538.98	Professional		$267.60	$330.27	$538.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $550.53 / $1,281.10	Facility		$274.64	$550.53	$1,281.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $285.95 / $393.51 / $1,065.60	Professional		$285.95	$393.51	$1,065.60
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,287.00	Facility		$371.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.52 / $515.36 / $895.86	Professional		$242.52	$515.36	$895.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.94 / $274.93 / $386.03	Professional		$242.94	$274.93	$386.03