Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $2,926.00 / $10,048.00	Facility		$797.00	$2,926.00	$10,048.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.79 / $1,011.80 / $1,594.62	Professional		$833.79	$1,011.80	$1,594.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,493.64 / $4,663.00 / $8,872.32	Facility		$2,493.64	$4,663.00	$8,872.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $910.07 / $1,126.79 / $1,615.92	Professional		$910.07	$1,126.79	$1,615.92
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $964.29 / $3,621.06 / $8,100.00	Facility		$964.29	$3,621.06	$8,100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $857.54 / $1,671.68 / $1,671.68	Facility		$857.54	$1,671.68	$1,671.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.12 / $1,249.25 / $1,880.10	Professional		$966.12	$1,249.25	$1,880.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,841.32 / $26,542.00 / $26,542.00	Facility		$6,841.32	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,226.24 / $8,123.28 / $9,478.35	Professional		$7,226.24	$8,123.28	$9,478.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $907.26 / $1,161.83 / $1,640.78	Facility		$907.26	$1,161.83	$1,640.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.69 / $1,605.96 / $2,036.57	Professional		$1,141.69	$1,605.96	$2,036.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $948.66 / $1,165.48 / $1,839.29	Professional		$948.66	$1,165.48	$1,839.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $900.60 / $1,161.83 / $1,672.51	Facility		$900.60	$1,161.83	$1,672.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,016.16 / $1,326.26 / $2,088.50	Professional		$1,016.16	$1,326.26	$2,088.50
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 $868.59 / $1,158.11 / $1,727.21	Professional		$868.59	$1,158.11	$1,727.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $934.49 / $1,059.53 / $1,478.80	Professional		$934.49	$1,059.53	$1,478.80