Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.87 / $3,553.00 / $10,893.00	Facility		$251.87	$3,553.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $209.72 / $334.00	Professional		$114.75	$209.72	$334.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $474.95 / $474.95 / $474.95	Professional	50	$474.95	$474.95	$474.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.81 / $210.81 / $210.81	Professional		$210.81	$210.81	$210.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.76 / $200.83 / $1,073.80	Facility		$113.76	$200.83	$1,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.19 / $196.96 / $341.71	Professional		$114.19	$196.96	$341.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $229.26 / $1,424.58 / $3,279.11	Facility		$229.26	$1,424.58	$3,279.11
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $252.87 / $305.67	Professional		$171.38	$252.87	$305.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $105.57 / $105.57 / $105.57	Facility		$105.57	$105.57	$105.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.68 / $205.68 / $205.68	Facility		$205.68	$205.68	$205.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.04 / $254.48 / $755.44	Professional		$135.04	$254.48	$755.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $852.54 / $26,542.00 / $26,542.00	Facility		$852.54	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,690.00 / $6,427.75 / $6,427.75	Professional		$5,690.00	$6,427.75	$6,427.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.75 / $274.05 / $1,000.14	Facility		$124.75	$274.05	$1,000.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $241.24 / $394.76	Professional		$157.69	$241.24	$394.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $932.80 / $932.80 / $932.80	Professional		$932.80	$932.80	$932.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.20 / $281.54 / $1,024.73	Facility		$126.20	$281.54	$1,024.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $263.64 / $745.91	Professional		$138.69	$263.64	$745.91
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.76 / $240.17 / $962.28	Professional		$163.76	$240.17	$962.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.17 / $210.81 / $296.85	Professional		$187.17	$210.81	$296.85