Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.00 / $3,188.00 / $10,546.00	Facility		$809.00	$3,188.00	$10,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.44 / $1,380.82 / $2,382.44	Professional		$1,122.44	$1,380.82	$2,382.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,476.51 / $4,704.12 / $9,564.00	Facility		$2,476.51	$4,704.12	$9,564.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,062.18 / $1,198.76 / $2,377.37	Professional		$1,062.18	$1,198.76	$2,377.37
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $3,546.48 / $8,100.00	Facility		$725.00	$3,546.48	$8,100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,353.35 / $1,445.14 / $1,445.14	Facility		$1,353.35	$1,445.14	$1,445.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.70 / $1,764.01 / $2,698.35	Professional		$1,389.70	$1,764.01	$2,698.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,102.00 / $26,542.00 / $26,542.00	Facility		$11,102.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,094.56 / $6,576.94 / $6,576.94	Facility	62	$2,094.56	$6,576.94	$6,576.94
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $335.13 / $1,052.31 / $1,052.31	Facility	AS	$335.13	$1,052.31	$1,052.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,720.80 / $12,056.47 / $12,846.15	Professional		$10,720.80	$12,056.47	$12,846.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,330.68 / $1,713.29 / $2,355.46	Facility		$1,330.68	$1,713.29	$2,355.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,466.27 / $2,346.03 / $2,932.54	Professional		$1,466.27	$2,346.03	$2,932.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,465.84 / $1,567.26 / $2,439.36	Professional		$1,465.84	$1,567.26	$2,439.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,330.68 / $1,714.17 / $2,559.98	Facility		$1,330.68	$1,714.17	$2,559.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,389.84 / $1,837.54 / $2,849.57	Professional		$1,389.84	$1,837.54	$2,849.57
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 $1,180.40 / $1,573.87 / $2,360.81	Professional		$1,180.40	$1,573.87	$2,360.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,251.42 / $1,424.78 / $1,969.29	Professional		$1,251.42	$1,424.78	$1,969.29