Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,978.00 / $12,941.00	Facility		$916.00	$3,978.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.05 / $4,823.28 / $8,264.96	Professional		$470.05	$4,823.28	$8,264.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,625.08 / $9,451.48 / $19,343.00	Facility		$5,625.08	$9,451.48	$19,343.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.29 / $4,122.30 / $7,403.45	Professional		$453.29	$4,122.30	$7,403.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5,046.77 / $6,707.82 / $9,654.81	Facility		$5,046.77	$6,707.82	$9,654.81
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $529.08 / $649.32 / $819.73	Professional		$529.08	$649.32	$819.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $444.30 / $6,548.61 / $6,548.61	Facility		$444.30	$6,548.61	$6,548.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $862.72 / $862.72 / $862.72	Facility		$862.72	$862.72	$862.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.88 / $1,149.54 / $11,328.79	Professional		$557.88	$1,149.54	$11,328.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,013.67	Facility		$55.00	$55.00	$9,013.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,210.07 / $20,838.52 / $52,591.26	Professional		$20,210.07	$20,838.52	$52,591.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $491.21 / $4,194.72 / $9,701.06	Facility		$491.21	$4,194.72	$9,701.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $641.26 / $5,478.00 / $9,293.58	Professional		$641.26	$5,478.00	$9,293.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.95 / $913.56 / $10,244.08	Professional		$691.95	$913.56	$10,244.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $491.21 / $2,521.88 / $9,701.06	Facility		$491.21	$2,521.88	$9,701.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $569.46 / $1,306.28 / $11,532.35	Professional		$569.46	$1,306.28	$11,532.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $19,320.00	Facility		$2,600.00	$7,123.00	$19,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,461.08 / $7,455.61 / $11,828.18	Professional		$5,461.08	$7,455.61	$11,828.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,443.58 / $4,934.96 / $7,070.50	Professional		$4,443.58	$4,934.96	$7,070.50