Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,290.87 / $6,918.31	Facility		$446.68	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $269.15 / $524.81	Professional		$114.82	$269.15	$524.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $478.63 / $707.95	Professional	50	$478.63	$478.63	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $257.04 / $281.84	Professional		$69.18	$257.04	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $213.80 / $912.01	Facility		$131.83	$213.80	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $199.53 / $346.74	Professional		$95.50	$199.53	$346.74
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $489.78	Professional		$269.15	$346.74	$489.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $302.00 / $302.00	Facility		$100.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Facility		$194.98	$194.98	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $263.03 / $446.68	Professional		$117.49	$263.03	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,621.81	Facility		$54.95	$56.23	$1,621.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $2,290.87	Professional		$2,041.74	$2,290.87	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $323.59 / $3,548.13	Facility		$107.15	$323.59	$3,548.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $275.42 / $501.19	Professional		$114.82	$275.42	$501.19
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $478.63 / $707.95	Professional	50	$478.63	$478.63	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $245.47 / $446.68	Facility		$102.33	$245.47	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $263.03 / $446.68	Professional		$120.23	$263.03	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $204.17 / $354.81	Professional		$100.00	$204.17	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $281.84	Professional		$269.15	$281.84	$281.84