Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.48 / $3,174.00 / $10,836.00	Facility		$730.48	$3,174.00	$10,836.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,366.40 / $7,478.07 / $7,478.07	Facility	50	$5,366.40	$7,478.07	$7,478.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.67 / $602.61 / $912.90	Professional		$458.67	$602.61	$912.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $3,057.62 / $6,305.22	Facility		$1,664.27	$3,057.62	$6,305.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.27 / $621.88 / $872.27	Professional		$502.27	$621.88	$872.27
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $271.14 / $820.80 / $4,091.67	Facility		$271.14	$820.80	$4,091.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $538.42 / $649.15 / $906.25	Professional		$538.42	$649.15	$906.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $466.80 / $466.80 / $487.72	Facility		$466.80	$466.80	$487.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.78 / $683.17 / $1,043.54	Professional		$521.78	$683.17	$1,043.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $26,542.00 / $26,542.00	Facility		$5,819.45	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,211.45 / $6,211.45 / $6,211.45	Professional		$6,211.45	$6,211.45	$6,211.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $493.84 / $651.44 / $1,208.71	Facility		$493.84	$651.44	$1,208.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $521.77 / $737.05 / $968.85	Professional		$521.77	$737.05	$968.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $499.59 / $570.88 / $659.09	Professional		$499.59	$570.88	$659.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $493.84 / $667.59 / $1,284.00	Facility		$493.84	$667.59	$1,284.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $521.77 / $715.70 / $1,063.83	Professional		$521.77	$715.70	$1,063.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.66 / $572.38 / $818.50	Professional		$431.66	$572.38	$818.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $459.38 / $521.77 / $729.57	Professional		$459.38	$521.77	$729.57