Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.26 / $2,496.00 / $7,316.00	Facility		$630.26	$2,496.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.95 / $683.90 / $1,022.36	Professional		$532.95	$683.90	$1,022.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,444.24 / $2,563.92 / $4,981.81	Facility		$1,444.24	$2,563.92	$4,981.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.35 / $716.46 / $1,053.57	Professional		$558.35	$716.46	$1,053.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $294.47 / $907.51 / $4,500.00	Facility		$294.47	$907.51	$4,500.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $607.29 / $780.23 / $1,061.77	Professional		$607.29	$780.23	$1,061.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $524.65 / $1,846.90 / $1,846.90	Facility		$524.65	$1,846.90	$1,846.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.95 / $820.38 / $1,263.10	Professional		$614.95	$820.38	$1,263.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,200.78 / $16,394.00 / $16,394.00	Facility		$4,200.78	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,435.20 / $5,573.28 / $6,506.70	Professional		$4,435.20	$5,573.28	$6,506.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $572.13 / $767.32 / $1,101.46	Facility		$572.13	$767.32	$1,101.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $745.99 / $1,025.99 / $1,397.03	Professional		$745.99	$1,025.99	$1,397.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $574.25 / $752.55 / $994.65	Professional		$574.25	$752.55	$994.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.13 / $766.75 / $1,128.83	Facility		$572.13	$766.75	$1,128.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $643.79 / $852.89 / $1,388.38	Professional		$643.79	$852.89	$1,388.38
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $2,494.00 / $4,764.00	Facility		$745.00	$2,494.00	$4,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.94 / $795.02 / $1,206.53	Professional		$594.94	$795.02	$1,206.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $641.03 / $723.76 / $1,013.26	Professional		$641.03	$723.76	$1,013.26