Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.82 / $2,816.00 / $8,002.00	Facility		$754.82	$2,816.00	$8,002.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.12 / $827.58 / $1,349.36	Professional		$688.12	$827.58	$1,349.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,990.97 / $8,808.62 / $15,732.53	Facility		$2,990.97	$8,808.62	$15,732.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.16 / $961.14 / $1,309.73	Professional		$754.16	$961.14	$1,309.73
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $136.25 / $2,052.00 / $6,156.00	Facility		$136.25	$2,052.00	$6,156.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $760.38 / $1,710.31 / $1,710.31	Facility		$760.38	$1,710.31	$1,710.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.28 / $936.28 / $936.28	Facility		$936.28	$936.28	$936.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.85 / $1,067.08 / $1,614.51	Professional		$794.85	$1,067.08	$1,614.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,089.08 / $16,394.00 / $19,913.50	Facility		$3,089.08	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,973.60 / $6,088.40 / $7,119.83	Professional		$5,973.60	$6,088.40	$7,119.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $754.82 / $938.46 / $1,491.96	Facility		$754.82	$938.46	$1,491.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.70 / $1,221.24 / $1,514.34	Professional		$1,017.70	$1,221.24	$1,514.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $888.15 / $1,404.11 / $3,013.73	Professional		$888.15	$1,404.11	$3,013.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $761.06 / $944.02 / $1,556.71	Facility		$761.06	$944.02	$1,556.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $823.34 / $1,101.96 / $1,692.76	Professional		$823.34	$1,101.96	$1,692.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.99 / $863.61 / $1,356.48	Professional		$638.99	$863.61	$1,356.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $694.86 / $786.68 / $1,096.71	Professional		$694.86	$786.68	$1,096.71