Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,713.54 / $7,542.00	Facility		$500.00	$2,713.54	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.25 / $2,460.79 / $4,707.43	Professional		$202.25	$2,460.79	$4,707.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $12,723.00 / $19,343.00	Facility		$1,845.00	$12,723.00	$19,343.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.87 / $2,178.42 / $3,957.95	Professional		$199.87	$2,178.42	$3,957.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $229.05 / $276.63 / $357.68	Professional		$229.05	$276.63	$357.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $185.46 / $260.64 / $260.64	Facility		$185.46	$260.64	$260.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.23 / $369.23 / $369.23	Facility		$369.23	$369.23	$369.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.22 / $493.50 / $6,541.04	Professional		$237.22	$493.50	$6,541.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,615.14	Facility		$55.00	$55.00	$4,615.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,357.03 / $10,669.73 / $31,785.96	Professional		$10,357.03	$10,669.73	$31,785.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $209.01 / $885.62 / $5,171.07	Facility		$209.01	$885.62	$5,171.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $272.49 / $389.87 / $4,742.07	Professional		$272.49	$389.87	$4,742.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $287.20 / $287.20 / $287.20	Professional		$287.20	$287.20	$287.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.01 / $1,084.60 / $5,199.49	Facility		$209.01	$1,084.60	$5,199.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.00 / $553.42 / $6,824.79	Professional		$241.00	$553.42	$6,824.79
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $19,017.00	Facility		$161.00	$950.00	$19,017.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,058.37 / $4,285.33 / $6,856.53	Professional		$3,058.37	$4,285.33	$6,856.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,267.35 / $2,517.34 / $3,607.70	Professional		$2,267.35	$2,517.34	$3,607.70