Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.20 / $1,662.88 / $3,539.11	Facility		$574.20	$1,662.88	$3,539.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.34 / $562.04 / $873.46	Professional		$425.34	$562.04	$873.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $455.72 / $455.72	Professional		$455.72	$455.72	$455.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $865.86 / $2,285.29 / $3,979.94	Facility		$865.86	$2,285.29	$3,979.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $417.74 / $1,063.33	Professional		$5.00	$417.74	$1,063.33
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $531.66 / $725.44 / $1,063.33	Professional		$531.66	$725.44	$1,063.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $548.47 / $759.53 / $759.53	Facility		$548.47	$759.53	$759.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.89 / $1,510.69 / $3,233.78	Facility		$451.89	$1,510.69	$3,233.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.11 / $611.85 / $1,250.00	Professional		$385.11	$611.85	$1,250.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,901.00 / $3,607.77 / $3,607.77	Facility		$2,901.00	$3,607.77	$3,607.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,797.65 / $3,797.65 / $5,696.48	Professional		$3,797.65	$3,797.65	$5,696.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $531.66 / $759.53 / $911.44	Facility		$531.66	$759.53	$911.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $721.55 / $759.53 / $949.41	Professional		$721.55	$759.53	$949.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $493.69 / $911.44 / $1,708.94	Professional		$493.69	$911.44	$1,708.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $494.26 / $759.53 / $1,658.80	Facility		$494.26	$759.53	$1,658.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.44 / $683.58 / $1,195.90	Professional		$387.44	$683.58	$1,195.90
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $319.00 / $455.72	Professional		$35.74	$319.00	$455.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $296.22 / $303.81 / $759.53	Professional		$296.22	$303.81	$759.53