Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.83 / $4,121.00 / $13,792.00	Facility		$790.83	$4,121.00	$13,792.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.64 / $688.30 / $1,081.65	Professional		$521.64	$688.30	$1,081.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,471.03 / $7,275.80 / $14,212.05	Facility		$3,471.03	$7,275.80	$14,212.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.11 / $699.46 / $1,135.80	Professional		$525.11	$699.46	$1,135.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,313.40 / $5,342.40 / $8,100.00	Facility		$1,313.40	$5,342.40	$8,100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $493.55 / $5,699.76 / $5,699.76	Facility		$493.55	$5,699.76	$5,699.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $961.16 / $961.16 / $961.16	Facility		$961.16	$961.16	$961.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.02 / $847.28 / $1,284.84	Professional		$607.02	$847.28	$1,284.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,945.66 / $11,500.00 / $26,542.00	Facility		$3,945.66	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,054.00 / $5,333.92 / $6,221.25	Professional		$5,054.00	$5,333.92	$6,221.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $578.12 / $795.66 / $1,240.77	Facility		$578.12	$795.66	$1,240.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $714.31 / $969.87 / $1,293.16	Professional		$714.31	$969.87	$1,293.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $627.51 / $941.26 / $1,655.80	Professional		$627.51	$941.26	$1,655.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $580.03 / $799.77 / $1,270.04	Facility		$580.03	$799.77	$1,270.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $612.01 / $889.01 / $1,423.13	Professional		$612.01	$889.01	$1,423.13
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.29 / $778.98 / $1,204.99	Professional		$570.29	$778.98	$1,204.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $613.15 / $691.88 / $972.11	Professional		$613.15	$691.88	$972.11