Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.61 / $2,107.00 / $7,513.00	Facility		$470.61	$2,107.00	$7,513.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $288.64 / $352.96 / $545.50	Facility	54	$288.64	$352.96	$545.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.04 / $485.94 / $808.20	Professional		$422.04	$485.94	$808.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,084.31 / $2,141.52 / $4,277.00	Facility		$1,084.31	$2,141.52	$4,277.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.69 / $538.82 / $780.15	Professional		$425.69	$538.82	$780.15
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $82.90 / $496.85 / $4,100.00	Facility		$82.90	$496.85	$4,100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $458.88 / $462.48	Facility		$80.00	$458.88	$462.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.84 / $778.84 / $778.84	Facility		$778.84	$778.84	$778.84
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $545.19 / $545.19 / $545.19	Facility	54	$545.19	$545.19	$545.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.97 / $619.95 / $948.85	Professional		$467.97	$619.95	$948.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,180.00 / $11,500.00 / $12,000.00	Facility		$2,180.00	$11,500.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,496.25 / $1,665.50 / $1,665.50	Facility	54	$1,496.25	$1,665.50	$1,665.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,353.28 / $3,835.28 / $4,465.20	Professional		$3,353.28	$3,835.28	$4,465.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.36 / $582.10 / $912.68	Facility		$453.36	$582.10	$912.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $587.36 / $715.05 / $911.69	Professional		$587.36	$715.05	$911.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $547.91 / $744.95 / $1,194.52	Professional		$547.91	$744.95	$1,194.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.42 / $587.38 / $932.82	Facility		$453.42	$587.38	$932.82
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $545.19 / $545.19 / $972.59	Facility	54	$545.19	$545.19	$972.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $475.44 / $661.22 / $995.24	Professional		$475.44	$661.22	$995.24
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,405.00	Facility		$161.00	$949.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.29 / $529.62 / $834.76	Professional		$390.29	$529.62	$834.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $435.91 / $491.86 / $689.04	Professional		$435.91	$491.86	$689.04