Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.41 / $3,511.00 / $12,040.00	Facility		$652.41	$3,511.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.64 / $578.75 / $825.83	Professional		$497.64	$578.75	$825.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $463.23 / $478.20 / $717.31	Professional		$463.23	$478.20	$717.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.77 / $390.28 / $1,567.58	Facility		$228.77	$390.28	$1,567.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.23 / $569.39 / $795.74	Professional		$451.23	$569.39	$795.74
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $435.25 / $555.79 / $735.43	Facility		$435.25	$555.79	$735.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $509.55 / $648.52 / $884.67	Professional		$509.55	$648.52	$884.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $418.25 / $480.90 / $503.30	Facility		$418.25	$480.90	$503.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.88 / $334.88 / $345.82	Facility		$334.88	$334.88	$345.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.55 / $635.44 / $1,067.22	Professional		$492.55	$635.44	$1,067.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,953.74	Facility		$55.00	$55.00	$3,953.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,599.44 / $3,840.32 / $4,227.08	Professional		$3,599.44	$3,840.32	$4,227.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $494.36 / $680.72 / $1,047.89	Facility		$494.36	$680.72	$1,047.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $543.67 / $717.60 / $922.95	Professional		$543.67	$717.60	$922.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $479.46 / $599.29 / $990.78	Professional		$479.46	$599.29	$990.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.80 / $685.83 / $1,074.18	Facility		$488.80	$685.83	$1,074.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $503.46 / $656.11 / $1,053.33	Professional		$503.46	$656.11	$1,053.33
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 $398.78 / $540.91 / $839.82	Professional		$398.78	$540.91	$839.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $421.83 / $478.20 / $670.13	Professional		$421.83	$478.20	$670.13