Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $3,219.00 / $10,893.00	Facility		$880.00	$3,219.00	$10,893.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $478.61 / $564.40 / $958.25	Facility	52	$478.61	$564.40	$958.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.21 / $1,220.35 / $1,927.29	Professional		$957.21	$1,220.35	$1,927.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,471.15 / $4,704.12 / $9,564.00	Facility		$2,471.15	$4,704.12	$9,564.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,137.61 / $1,433.38 / $1,994.70	Professional		$1,137.61	$1,433.38	$1,994.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,018.14 / $1,217.82 / $2,136.63	Professional		$1,018.14	$1,217.82	$2,136.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,121.38 / $1,121.38 / $1,144.48	Facility		$1,121.38	$1,121.38	$1,144.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.92 / $1,580.12 / $2,356.46	Professional		$1,203.92	$1,580.12	$2,356.46
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 52 Low / Median / High Price $2,274.26 / $8,418.48 / $8,418.48	Facility	52	$2,274.26	$8,418.48	$8,418.48
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $284.27 / $1,052.31 / $1,052.31	Facility	AS	$284.27	$1,052.31	$1,052.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,066.48 / $9,294.87 / $10,750.35	Professional		$9,066.48	$9,294.87	$10,750.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,190.26 / $1,564.74 / $2,198.84	Facility		$1,190.26	$1,564.74	$2,198.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,233.05 / $1,972.88 / $2,466.10	Professional		$1,233.05	$1,972.88	$2,466.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.36 / $1,315.48 / $2,055.65	Professional		$1,213.36	$1,315.48	$2,055.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,190.26 / $1,566.72 / $2,375.75	Facility		$1,190.26	$1,566.72	$2,375.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,242.11 / $1,654.23 / $2,574.23	Professional		$1,242.11	$1,654.23	$2,574.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,313.00 / $10,600.00	Facility		$1,634.00	$4,313.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.15 / $1,356.87 / $2,147.19	Professional		$1,028.15	$1,356.87	$2,147.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,052.36 / $1,197.81 / $1,658.88	Professional		$1,052.36	$1,197.81	$1,658.88