Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $12,377.00	Facility		$945.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.01 / $997.98 / $1,685.98	Professional		$840.01	$997.98	$1,685.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,053.00 / $8,673.83 / $15,618.87	Facility		$3,053.00	$8,673.83	$15,618.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $906.71 / $1,122.63 / $1,574.65	Professional		$906.71	$1,122.63	$1,574.65
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,114.72 / $1,114.72 / $1,186.83	Professional		$1,114.72	$1,114.72	$1,186.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $907.05 / $919.16	Facility		$80.00	$907.05	$919.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,120.04 / $1,120.04 / $1,120.04	Facility		$1,120.04	$1,120.04	$1,120.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $941.89 / $1,262.89 / $1,925.81	Professional		$941.89	$1,262.89	$1,925.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,696.60 / $19,913.50 / $26,542.00	Facility		$3,696.60	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,302.88 / $7,334.98 / $8,514.00	Professional		$7,302.88	$7,334.98	$8,514.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $939.95 / $1,224.06 / $1,960.20	Facility		$939.95	$1,224.06	$1,960.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.44 / $1,460.93 / $1,811.55	Professional		$1,217.44	$1,460.93	$1,811.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $965.52 / $1,642.64 / $3,607.44	Professional		$965.52	$1,642.64	$3,607.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $941.89 / $1,224.46 / $1,979.46	Facility		$941.89	$1,224.46	$1,979.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $949.24 / $1,319.64 / $2,039.81	Professional		$949.24	$1,319.64	$2,039.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,600.00	Facility		$1,634.00	$4,425.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.63 / $1,030.72 / $1,586.43	Professional		$767.63	$1,030.72	$1,586.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.24 / $941.89 / $1,311.65	Professional		$831.24	$941.89	$1,311.65