Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,011.87 / $15,848.93	Facility		$2,290.87	$5,011.87	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,981.07	Professional		$2,089.30	$2,818.38	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $3,630.78	Professional		$2,454.71	$3,162.28	$3,630.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,011.87 / $15,488.17	Facility		$2,290.87	$5,011.87	$15,488.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,128.61	Professional		$4,265.80	$4,265.80	$5,128.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $26,302.68 / $26,302.68	Professional		$17,378.01	$26,302.68	$26,302.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $6,456.54	Facility		$2,454.71	$3,467.37	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $4,168.69	Professional		$2,089.30	$2,884.03	$4,168.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,801.89 / $7,413.10	Professional		$3,467.37	$3,801.89	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $9,772.37	Facility		$2,454.71	$3,467.37	$9,772.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $6,165.95	Professional		$3,162.28	$3,890.45	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $3,467.37	Facility		$1,258.93	$1,479.11	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,398.83	Professional		$1,479.11	$1,479.11	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,467.37 / $3,467.37	Professional		$1,380.38	$3,467.37	$3,467.37