Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,339.00 / $11,630.85	Facility		$803.00	$3,339.00	$11,630.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.55 / $968.76 / $1,617.47	Professional		$777.55	$968.76	$1,617.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,710.30 / $4,674.35 / $9,825.06	Facility		$2,710.30	$4,674.35	$9,825.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.91 / $1,121.40 / $1,668.57	Professional		$836.91	$1,121.40	$1,668.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,557.44 / $8,000.00	Facility		$1,300.00	$3,557.44	$8,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $888.34 / $888.34 / $904.14	Facility		$888.34	$888.34	$904.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $965.52 / $1,265.04 / $1,882.66	Professional		$965.52	$1,265.04	$1,882.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,102.00	Facility		$55.00	$55.00	$11,102.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,430.40 / $7,602.32 / $8,697.60	Professional		$7,430.40	$7,602.32	$8,697.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.62 / $1,045.92 / $1,414.70	Facility		$870.62	$1,045.92	$1,414.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,003.71 / $1,605.94 / $2,007.42	Professional		$1,003.71	$1,605.94	$2,007.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $972.33 / $1,055.10 / $1,675.77	Professional		$972.33	$1,055.10	$1,675.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $856.83 / $1,042.17 / $1,463.24	Facility		$856.83	$1,042.17	$1,463.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $993.54 / $1,339.08 / $2,077.00	Professional		$993.54	$1,339.08	$2,077.00
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 $814.58 / $1,080.52 / $1,643.47	Professional		$814.58	$1,080.52	$1,643.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $856.64 / $975.49 / $1,352.70	Professional		$856.64	$975.49	$1,352.70