Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.30 / $4,028.00 / $14,067.00	Facility		$999.30	$4,028.00	$14,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.27 / $1,081.71 / $1,825.19	Professional		$924.27	$1,081.71	$1,825.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,084.66 / $9,391.66 / $18,252.08	Facility		$5,084.66	$9,391.66	$18,252.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $978.85 / $1,211.96 / $1,699.94	Professional		$978.85	$1,211.96	$1,699.94
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $6,451.17 / $12,074.08	Facility		$1,216.00	$6,451.17	$12,074.08
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $996.72 / $1,021.67 / $2,001.53	Professional		$996.72	$1,021.67	$2,001.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $953.30 / $9,622.61 / $9,622.61	Facility		$953.30	$9,622.61	$9,622.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,211.33 / $1,211.33 / $1,211.33	Facility		$1,211.33	$1,211.33	$1,211.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.91 / $1,427.46 / $2,211.91	Professional		$1,063.91	$1,427.46	$2,211.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,992.80 / $19,913.50 / $26,542.00	Facility		$5,992.80	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,704.80 / $7,864.16 / $9,182.85	Professional		$7,704.80	$7,864.16	$9,182.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,039.15 / $1,358.75 / $2,139.71	Facility		$1,039.15	$1,358.75	$2,139.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,313.26 / $1,575.92 / $1,954.13	Professional		$1,313.26	$1,575.92	$1,954.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.19 / $1,841.33 / $3,905.30	Professional		$1,045.19	$1,841.33	$3,905.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,039.22 / $1,359.61 / $2,180.19	Facility		$1,039.22	$1,359.61	$2,180.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,090.10 / $1,494.43 / $2,245.19	Professional		$1,090.10	$1,494.43	$2,245.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.38 / $1,140.48 / $1,798.77	Professional		$836.38	$1,140.48	$1,798.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $896.66 / $1,019.66 / $1,412.84	Professional		$896.66	$1,019.66	$1,412.84