Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,682.00 / $12,941.00	Facility		$1,020.00	$3,682.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.53 / $1,254.09 / $1,976.05	Professional		$1,116.53	$1,254.09	$1,976.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,252.01 / $7,615.33 / $14,968.83	Facility		$4,252.01	$7,615.33	$14,968.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.26 / $1,330.36 / $1,994.25	Professional		$1,000.26	$1,330.36	$1,994.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,431.44 / $2,431.44 / $2,700.50	Professional		$2,431.44	$2,431.44	$2,700.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,084.70 / $1,098.53	Facility		$80.00	$1,084.70	$1,098.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,381.30 / $1,381.30 / $1,381.30	Facility		$1,381.30	$1,381.30	$1,381.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.35 / $1,656.65 / $2,585.91	Professional		$1,206.35	$1,656.65	$2,585.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,960.05	Facility		$55.00	$55.00	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,942.49 / $14,942.49 / $14,942.49	Professional		$14,942.49	$14,942.49	$14,942.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,196.44 / $1,529.89 / $2,727.25	Facility		$1,196.44	$1,529.89	$2,727.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,496.84 / $1,796.21 / $2,227.29	Professional		$1,496.84	$1,796.21	$2,227.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,397.00 / $1,397.00 / $1,397.00	Professional		$1,397.00	$1,397.00	$1,397.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,197.06 / $1,556.18 / $2,813.13	Facility		$1,197.06	$1,556.18	$2,813.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,233.00 / $1,736.80 / $2,610.30	Professional		$1,233.00	$1,736.80	$2,610.30
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 $1,007.10 / $1,355.85 / $2,149.48	Professional		$1,007.10	$1,355.85	$2,149.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,022.00 / $1,164.55 / $1,620.30	Professional		$1,022.00	$1,164.55	$1,620.30