Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,587.19 / $6,867.84 / $19,096.70	Facility		$2,587.19	$6,867.84	$19,096.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,195.19 / $2,587.19 / $3,175.20	Professional		$2,195.19	$2,587.19	$3,175.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,590.00 / $3,590.00 / $9,564.79	Professional		$3,590.00	$3,590.00	$9,564.79
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,744.00 / $2,744.00 / $3,920.00	Professional		$2,744.00	$2,744.00	$3,920.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,362.67 / $9,200.06 / $20,780.31	Facility		$2,362.67	$9,200.06	$20,780.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,774.87 / $4,774.87 / $5,720.83	Professional		$4,774.87	$4,774.87	$5,720.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,820.80 / $18,620.00 / $18,620.00	Facility		$6,820.80	$18,620.00	$18,620.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,521.59 / $19,521.59 / $29,400.00	Professional		$19,521.59	$19,521.59	$29,400.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,376.00 / $3,920.00 / $5,840.80	Facility		$2,376.00	$3,920.00	$5,840.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,724.00 / $3,998.40 / $5,880.00	Professional		$3,724.00	$3,998.40	$5,880.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,548.00 / $4,487.50 / $8,077.50	Professional		$2,548.00	$4,487.50	$8,077.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,480.80 / $9,829.58 / $21,116.36	Facility		$2,480.80	$9,829.58	$21,116.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,704.47 / $4,312.00 / $6,860.00	Professional		$3,704.47	$4,312.00	$6,860.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.40 / $1,646.40 / $2,352.00	Professional		$1,646.40	$1,646.40	$2,352.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $3,920.00	Professional		$335.33	$335.33	$3,920.00