Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $5,775.00 / $17,185.00	Facility		$2,310.00	$5,775.00	$17,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,960.00 / $2,520.00 / $3,290.00	Professional		$1,960.00	$2,520.00	$3,290.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,519.00 / $18,340.00	Facility		$3,500.00	$8,519.00	$18,340.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $8,540.00	Professional		$3,500.00	$3,500.00	$8,540.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,450.00 / $3,150.00 / $3,591.13	Professional		$2,450.00	$3,150.00	$3,591.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $3,500.00	Facility		$3,500.00	$3,500.00	$3,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,331.46 / $7,689.50 / $15,593.69	Facility		$2,331.46	$7,689.50	$15,593.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,680.00 / $4,263.10 / $5,107.68	Professional		$1,680.00	$4,263.10	$5,107.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,600.00 / $16,625.00 / $16,625.00	Facility		$5,600.00	$16,625.00	$16,625.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,500.00 / $17,500.00 / $26,250.00	Professional		$17,500.00	$17,500.00	$26,250.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,135.00 / $3,500.00 / $5,250.00	Facility		$2,135.00	$3,500.00	$5,250.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,325.00 / $3,500.00 / $4,375.00	Professional		$3,325.00	$3,500.00	$4,375.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,275.00 / $4,375.00 / $12,250.00	Professional		$2,275.00	$4,375.00	$12,250.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,448.05 / $8,000.70 / $18,552.83	Facility		$2,448.05	$8,000.70	$18,552.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,047.50 / $4,235.00 / $6,125.00	Professional		$2,047.50	$4,235.00	$6,125.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $1,470.00 / $2,156.00	Professional		$1,470.00	$1,470.00	$2,156.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $1,365.00 / $3,500.00	Professional		$239.16	$1,365.00	$3,500.00