Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.98 / $2,500.00 / $7,495.00	Facility		$345.98	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.03 / $204.59 / $359.21	Professional		$132.03	$204.59	$359.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $208.36 / $267.35	Professional		$69.45	$208.36	$267.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.94 / $253.35 / $1,033.67	Facility		$146.94	$253.35	$1,033.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $217.31 / $337.33	Professional		$134.90	$217.31	$337.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $225.30 / $302.74 / $402.21	Professional		$225.30	$302.74	$402.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $108.83 / $108.83 / $229.31	Facility		$108.83	$108.83	$229.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.10 / $199.10 / $205.60	Facility		$199.10	$199.10	$205.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.77 / $231.12 / $366.19	Professional		$148.77	$231.12	$366.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,017.12	Facility		$55.00	$55.00	$1,017.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.11 / $1,944.83 / $2,416.55	Professional		$1,079.11	$1,944.83	$2,416.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.22 / $233.65 / $382.57	Facility		$144.22	$233.65	$382.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $248.01 / $383.28	Professional		$157.97	$248.01	$383.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $220.56 / $297.64	Professional		$138.24	$220.56	$297.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.22 / $233.65 / $404.92	Facility		$144.22	$233.65	$404.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $240.19 / $381.01	Professional		$154.00	$240.19	$381.01
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 $179.45 / $239.27 / $346.94	Professional		$179.45	$239.27	$346.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.42 / $216.24 / $305.95	Professional		$192.42	$216.24	$305.95