Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.56 / $3,213.00 / $11,453.00	Facility		$874.56	$3,213.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.65 / $1,084.51 / $1,714.44	Professional		$953.65	$1,084.51	$1,714.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,910.17 / $7,615.33 / $15,570.20	Facility		$3,910.17	$7,615.33	$15,570.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $832.01 / $1,087.33 / $1,622.43	Professional		$832.01	$1,087.33	$1,622.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,000.59 / $1,000.59 / $1,109.33	Professional		$1,000.59	$1,000.59	$1,109.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $889.91 / $899.41	Facility		$80.00	$889.91	$899.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.85 / $1,137.85 / $1,137.85	Facility		$1,137.85	$1,137.85	$1,137.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.35 / $1,486.01 / $2,253.71	Professional		$1,026.35	$1,486.01	$2,253.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,547.20	Facility		$55.00	$55.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,378.40 / $7,521.36 / $8,437.20	Professional		$7,378.40	$7,521.36	$8,437.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $983.74 / $1,329.96 / $2,118.60	Facility		$983.74	$1,329.96	$2,118.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.79 / $1,476.95 / $1,831.41	Professional		$1,230.79	$1,476.95	$1,831.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,312.50 / $1,312.50 / $1,312.50	Professional		$1,312.50	$1,312.50	$1,312.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $983.74 / $1,332.90 / $2,204.44	Facility		$983.74	$1,332.90	$2,204.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,052.09 / $1,535.98 / $2,320.08	Professional		$1,052.09	$1,535.98	$2,320.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $907.46 / $1,192.17 / $1,906.27	Professional		$907.46	$1,192.17	$1,906.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $840.35 / $957.79 / $1,331.19	Professional		$840.35	$957.79	$1,331.19