Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $6,132.00 / $17,185.00	Facility		$2,310.00	$6,132.00	$17,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,960.00 / $2,310.00 / $2,975.00	Professional		$1,960.00	$2,310.00	$2,975.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,975.00 / $3,500.00 / $3,500.00	Professional		$2,975.00	$3,500.00	$3,500.00
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 $2,275.00 / $8,214.34 / $15,593.69	Facility		$2,275.00	$8,214.34	$15,593.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,263.10 / $4,263.10 / $5,107.68	Professional		$4,263.10	$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 $17,430.00 / $17,430.00 / $26,250.00	Professional		$17,430.00	$17,430.00	$26,250.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $3,500.00 / $5,123.10	Facility		$2,100.00	$3,500.00	$5,123.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $4,375.00	Professional		$3,500.00	$3,500.00	$4,375.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,150.00 / $4,375.00 / $7,875.00	Professional		$3,150.00	$4,375.00	$7,875.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,386.55 / $8,103.54 / $18,552.83	Facility		$2,386.55	$8,103.54	$18,552.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,307.40 / $4,375.00 / $6,125.00	Professional		$3,307.40	$4,375.00	$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