Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,377.00	Facility		$895.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.26 / $635.22 / $1,025.14	Professional		$535.26	$635.22	$1,025.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,587.23 / $4,382.00 / $8,431.35	Facility		$2,587.23	$4,382.00	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.61 / $717.64 / $1,006.59	Professional		$579.61	$717.64	$1,006.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $769.00 / $2,810.90 / $8,100.00	Facility		$769.00	$2,810.90	$8,100.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $697.65 / $878.05 / $1,061.64	Professional		$697.65	$878.05	$1,061.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $562.30 / $566.66	Facility		$80.00	$562.30	$566.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $721.65 / $721.65 / $721.65	Facility		$721.65	$721.65	$721.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.92 / $830.83 / $1,282.39	Professional		$611.92	$830.83	$1,282.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,377.16 / $11,500.00 / $26,542.00	Facility		$2,377.16	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,633.92 / $4,710.96 / $5,456.03	Professional		$4,633.92	$4,710.96	$5,456.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $593.51 / $756.58 / $1,167.66	Facility		$593.51	$756.58	$1,167.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $784.40 / $941.28 / $1,167.19	Professional		$784.40	$941.28	$1,167.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $667.32 / $1,082.08 / $2,323.46	Professional		$667.32	$1,082.08	$2,323.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $597.65 / $763.12 / $1,267.93	Facility		$597.65	$763.12	$1,267.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $641.17 / $854.05 / $1,313.01	Professional		$641.17	$854.05	$1,313.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.48 / $668.34 / $1,038.03	Professional		$487.48	$668.34	$1,038.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $535.57 / $606.65 / $846.69	Professional		$535.57	$606.65	$846.69