Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $12,882.50	Facility		$1,096.48	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,454.71	Professional		$1,380.38	$1,621.81	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $19,054.61 / $37,153.52	Facility		$10,232.93	$19,054.61	$37,153.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,398.83	Professional		$1,412.54	$1,778.28	$2,398.83
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,570.40	Professional		$1,479.11	$1,995.26	$2,570.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,380.38	Facility		$79.43	$1,348.96	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,311.31	Professional		$1,513.56	$2,089.30	$3,311.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $51,286.14	Facility		$54.95	$56.23	$51,286.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $13,182.57 / $13,182.57	Professional		$10,964.78	$13,182.57	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $6,025.60	Facility		$1,230.27	$2,041.74	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,454.71	Professional		$1,380.38	$1,862.09	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $194.98 / $1,318.26	Professional		$32.36	$194.98	$1,318.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,388.44	Facility		$1,380.38	$1,862.09	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $3,235.94	Professional		$1,412.54	$2,041.74	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $11,481.54 / $27,542.29	Facility		$4,570.88	$11,481.54	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,691.53	Professional		$1,288.25	$1,698.24	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,445.44	Professional		$1,318.26	$1,445.44	$1,445.44