Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.48 / $2,496.00 / $7,495.00	Facility		$281.48	$2,496.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $197.22 / $282.95	Professional		$124.07	$197.22	$282.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,587.00 / $1,587.00 / $1,587.00	Professional	50	$1,587.00	$1,587.00	$1,587.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.62 / $239.17 / $962.98	Facility		$141.62	$239.17	$962.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.64 / $201.30 / $339.03	Professional		$125.64	$201.30	$339.03
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $246.86 / $561.08 / $893.91	Facility		$246.86	$561.08	$893.91
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $186.69 / $186.69 / $288.62	Professional		$186.69	$186.69	$288.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $122.19 / $475.46 / $475.46	Facility		$122.19	$475.46	$475.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.47 / $221.47 / $221.47	Facility		$221.47	$221.47	$221.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.09 / $236.74 / $398.61	Professional		$146.09	$236.74	$398.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $941.34	Facility		$55.00	$55.00	$941.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $990.88 / $1,539.60 / $1,808.33	Professional		$990.88	$1,539.60	$1,808.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.03 / $222.48 / $386.20	Facility		$137.03	$222.48	$386.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.67 / $248.48 / $363.98	Professional		$173.67	$248.48	$363.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.30 / $178.30 / $178.30	Professional		$178.30	$178.30	$178.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.27 / $226.70 / $418.20	Facility		$137.27	$226.70	$418.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $244.27 / $426.35	Professional		$151.05	$244.27	$426.35
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.52 / $238.99 / $373.19	Professional		$179.52	$238.99	$373.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $199.05 / $281.81	Professional		$177.51	$199.05	$281.81