Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.80 / $320.80 / $346.46	Facility		$320.80	$320.80	$346.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.80 / $346.46 / $641.60	Professional		$320.80	$346.46	$641.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.57 / $520.23 / $549.54	Professional		$436.57	$520.23	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.71 / $348.71 / $436.29	Professional		$348.71	$348.71	$436.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $512.90 / $586.17 / $732.72	Professional		$512.90	$586.17	$732.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $732.72 / $1,065.82 / $1,065.82	Facility		$732.72	$1,065.82	$1,065.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $440.05	Facility		$440.05	$440.05	$440.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $321.24 / $440.05	Professional		$321.24	$321.24	$440.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,490.95 / $3,722.67 / $3,722.67	Facility		$3,490.95	$3,722.67	$3,722.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,773.79 / $3,773.79 / $5,012.47	Professional		$3,773.79	$3,773.79	$5,012.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $510.64 / $732.72	Facility		$215.25	$510.64	$732.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $659.45 / $732.72	Professional		$217.68	$659.45	$732.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $261.50 / $261.50 / $261.50	Professional		$261.50	$261.50	$261.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $489.59 / $732.72	Facility		$215.25	$489.59	$732.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $321.24 / $525.17	Professional		$321.24	$321.24	$525.17
United Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $411.04 / $510.22	Professional		$277.85	$411.04	$510.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $404.41 / $424.98 / $732.72	Professional		$404.41	$424.98	$732.72