Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,219.00 / $11,453.00	Facility		$767.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.64 / $608.37 / $1,035.92	Professional		$538.64	$608.37	$1,035.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,336.44 / $2,271.75 / $4,716.76	Facility		$1,336.44	$2,271.75	$4,716.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.27 / $702.84 / $957.74	Professional		$555.27	$702.84	$957.74
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3,606.32 / $3,606.32 / $5,208.43	Facility		$3,606.32	$3,606.32	$5,208.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $554.76 / $562.04	Facility		$80.00	$554.76	$562.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.46 / $684.46 / $684.46	Facility		$684.46	$684.46	$684.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.02 / $809.72 / $1,249.45	Professional		$608.02	$809.72	$1,249.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,258.96 / $11,500.00 / $26,542.00	Facility		$2,258.96	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,203.50 / $5,361.75 / $5,538.69	Professional		$5,203.50	$5,361.75	$5,538.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $591.29 / $831.73 / $1,300.31	Facility		$591.29	$831.73	$1,300.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $743.98 / $892.77 / $1,107.03	Professional		$743.98	$892.77	$1,107.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.80 / $1,007.80 / $1,007.80	Professional		$1,007.80	$1,007.80	$1,007.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $591.92 / $837.14 / $1,330.08	Facility		$591.92	$837.14	$1,330.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $614.70 / $854.30 / $1,275.72	Professional		$614.70	$854.30	$1,275.72
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 $485.25 / $646.71 / $1,046.28	Professional		$485.25	$646.71	$1,046.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $507.97 / $575.53 / $801.54	Professional		$507.97	$575.53	$801.54