Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,826.00	Facility		$969.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.27 / $1,134.21 / $1,911.77	Professional		$962.27	$1,134.21	$1,911.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,536.51 / $9,391.66 / $18,424.41	Facility		$5,536.51	$9,391.66	$18,424.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,032.35 / $1,306.72 / $1,780.64	Professional		$1,032.35	$1,306.72	$1,780.64
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $587.41 / $765.64 / $987.93	Professional		$587.41	$765.64	$987.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $999.31 / $1,020.87	Facility		$80.00	$999.31	$1,020.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,268.30 / $1,268.30 / $1,268.30	Facility		$1,268.30	$1,268.30	$1,268.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.25 / $1,493.19 / $2,304.44	Professional		$1,121.25	$1,493.19	$2,304.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,277.86 / $19,913.50 / $26,542.00	Facility		$6,277.86	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,072.72 / $8,240.32 / $9,621.37	Professional		$8,072.72	$8,240.32	$9,621.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,088.91 / $1,415.58 / $2,172.86	Facility		$1,088.91	$1,415.58	$2,172.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,375.94 / $1,651.13 / $2,047.40	Professional		$1,375.94	$1,651.13	$2,047.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.08 / $1,929.65 / $4,090.55	Professional		$1,095.08	$1,929.65	$4,090.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,089.39 / $1,423.62 / $2,273.23	Facility		$1,089.39	$1,423.62	$2,273.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,142.31 / $1,555.83 / $2,335.80	Professional		$1,142.31	$1,555.83	$2,335.80
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 $875.09 / $1,166.78 / $1,882.02	Professional		$875.09	$1,166.78	$1,882.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $939.46 / $1,068.03 / $1,480.41	Professional		$939.46	$1,068.03	$1,480.41