Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $2,771.00 / $7,542.00	Facility		$847.00	$2,771.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.69 / $1,026.67 / $1,591.59	Professional		$897.69	$1,026.67	$1,591.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,990.00 / $7,419.33 / $14,745.61	Facility		$3,990.00	$7,419.33	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.70 / $1,068.92 / $1,567.22	Professional		$803.70	$1,068.92	$1,567.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,955.30 / $1,955.30 / $2,172.78	Professional		$1,955.30	$1,955.30	$2,172.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $878.88 / $884.21	Facility		$80.00	$878.88	$884.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.83 / $1,107.83 / $1,107.83	Facility		$1,107.83	$1,107.83	$1,107.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.69 / $1,392.56 / $2,150.21	Professional		$994.69	$1,392.56	$2,150.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,459.52 / $16,394.00 / $16,547.20	Facility		$5,459.52	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,057.00 / $9,057.00 / $9,057.00	Professional		$9,057.00	$9,057.00	$9,057.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $962.70 / $1,259.76 / $2,124.40	Facility		$962.70	$1,259.76	$2,124.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,204.09 / $1,444.92 / $1,791.70	Professional		$1,204.09	$1,444.92	$1,791.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.70 / $1,094.70 / $1,094.70	Professional		$1,094.70	$1,094.70	$1,094.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $962.76 / $1,262.45 / $2,224.02	Facility		$962.76	$1,262.45	$2,224.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,006.42 / $1,444.16 / $2,203.23	Professional		$1,006.42	$1,444.16	$2,203.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,002.00 / $13,134.00	Facility		$2,093.00	$6,002.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $865.88 / $1,139.47 / $1,806.44	Professional		$865.88	$1,139.47	$1,806.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $822.13 / $935.06 / $1,303.67	Professional		$822.13	$935.06	$1,303.67