Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.00 / $3,682.00 / $12,826.00	Facility		$1,004.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,459.41 / $1,647.42 / $2,709.21	Professional		$1,459.41	$1,647.42	$2,709.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,524.41 / $24,238.04 / $48,316.62	Facility		$10,524.41	$24,238.04	$48,316.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,361.55 / $1,810.86 / $2,714.54	Professional		$1,361.55	$1,810.86	$2,714.54
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,924.56 / $18,437.87	Facility		$875.00	$3,924.56	$18,437.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,424.79 / $1,439.98	Facility		$80.00	$1,424.79	$1,439.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.47 / $1,877.47 / $1,877.47	Facility		$1,877.47	$1,877.47	$1,877.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,603.30 / $2,195.63 / $3,399.57	Professional		$1,603.30	$2,195.63	$3,399.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $78,951.35	Facility		$11,500.00	$26,542.00	$78,951.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,304.65 / $16,304.65 / $16,304.65	Professional		$16,304.65	$16,304.65	$16,304.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,569.24 / $2,029.23 / $3,478.05	Facility		$1,569.24	$2,029.23	$3,478.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.50 / $2,363.40 / $2,930.62	Professional		$1,969.50	$2,363.40	$2,930.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.60 / $1,737.60 / $1,737.60	Professional		$1,737.60	$1,737.60	$1,737.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,569.93 / $2,031.30 / $3,699.83	Facility		$1,569.93	$2,031.30	$3,699.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,625.48 / $2,265.30 / $3,466.74	Professional		$1,625.48	$2,265.30	$3,466.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $6,788.00 / $13,499.00	Facility		$2,211.00	$6,788.00	$13,499.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,339.45 / $1,783.30 / $2,827.12	Professional		$1,339.45	$1,783.30	$2,827.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,344.73 / $1,531.68 / $2,131.87	Professional		$1,344.73	$1,531.68	$2,131.87