Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,341.08 / $6,837.00	Facility		$652.00	$2,341.08	$6,837.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.79 / $757.73 / $1,149.09	Professional		$596.79	$757.73	$1,149.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,458.11 / $4,674.35 / $9,140.28	Facility		$2,458.11	$4,674.35	$9,140.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.96 / $783.71 / $1,129.24	Professional		$585.96	$783.71	$1,129.24
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $588.72 / $3,621.06 / $7,911.00	Facility		$588.72	$3,621.06	$7,911.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $600.59 / $2,529.17 / $2,529.17	Facility		$600.59	$2,529.17	$2,529.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.62 / $932.31 / $1,420.33	Professional		$701.62	$932.31	$1,420.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,740.12 / $16,394.00 / $16,394.00	Facility		$4,740.12	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,001.12 / $6,098.64 / $7,153.80	Professional		$5,001.12	$6,098.64	$7,153.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $649.50 / $875.74 / $1,260.00	Facility		$649.50	$875.74	$1,260.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $675.39 / $1,125.45 / $1,532.99	Professional		$675.39	$1,125.45	$1,532.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $655.72 / $843.88 / $1,117.24	Professional		$655.72	$843.88	$1,117.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $649.50 / $875.72 / $1,323.64	Facility		$649.50	$875.72	$1,323.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $737.08 / $979.58 / $1,554.54	Professional		$737.08	$979.58	$1,554.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.36 / $879.14 / $1,337.17	Professional		$659.36	$879.14	$1,337.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $703.42 / $796.33 / $1,112.91	Professional		$703.42	$796.33	$1,112.91