Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,783.00 / $7,542.00	Facility		$803.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,124.08 / $1,282.93 / $2,003.81	Professional		$1,124.08	$1,282.93	$2,003.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,025.94 / $7,372.81 / $14,745.61	Facility		$4,025.94	$7,372.81	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.92 / $1,312.61 / $1,967.65	Professional		$986.92	$1,312.61	$1,967.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $356.80 / $2,596.44 / $12,453.63	Facility		$356.80	$2,596.44	$12,453.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,056.18 / $1,071.49	Facility		$80.00	$1,056.18	$1,071.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.78 / $1,370.78 / $1,370.78	Facility		$1,370.78	$1,370.78	$1,370.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.32 / $1,699.73 / $2,630.61	Professional		$1,224.32	$1,699.73	$2,630.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,723.36 / $16,394.00 / $16,547.20	Facility		$6,723.36	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,976.00 / $9,976.00 / $10,130.40	Professional		$9,976.00	$9,976.00	$10,130.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,182.79 / $1,559.03 / $2,520.30	Facility		$1,182.79	$1,559.03	$2,520.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,480.26 / $1,776.32 / $2,202.63	Professional		$1,480.26	$1,776.32	$2,202.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,332.40 / $1,332.40 / $1,332.40	Professional		$1,332.40	$1,332.40	$1,332.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,185.18 / $1,561.79 / $2,652.10	Facility		$1,185.18	$1,561.79	$2,652.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.92 / $1,753.69 / $2,680.28	Professional		$1,230.92	$1,753.69	$2,680.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.82 / $1,373.09 / $2,169.48	Professional		$1,029.82	$1,373.09	$2,169.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,010.69 / $1,153.98 / $1,600.65	Professional		$1,010.69	$1,153.98	$1,600.65