Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,224.00 / $11,453.00	Facility		$788.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.63 / $796.58 / $1,320.52	Professional		$677.63	$796.58	$1,320.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,486.46 / $9,092.56 / $18,185.13	Facility		$4,486.46	$9,092.56	$18,185.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.87 / $927.64 / $1,261.26	Professional		$732.87	$927.64	$1,261.26
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $728.41 / $3,505.50	Facility		$200.00	$728.41	$3,505.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $744.44 / $745.79	Facility		$80.00	$744.44	$745.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $887.31 / $887.31 / $887.31	Facility		$887.31	$887.31	$887.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.21 / $994.32 / $1,536.37	Professional		$753.21	$994.32	$1,536.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,901.96 / $25,239.65 / $26,542.00	Facility		$2,901.96	$25,239.65	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,631.76 / $5,818.96 / $6,702.38	Professional		$5,631.76	$5,818.96	$6,702.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.76 / $955.96 / $1,469.66	Facility		$741.76	$955.96	$1,469.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $958.26 / $1,149.92 / $1,425.89	Professional		$958.26	$1,149.92	$1,425.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $966.40 / $1,439.06 / $2,919.88	Professional		$966.40	$1,439.06	$2,919.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $749.64 / $956.04 / $1,514.05	Facility		$749.64	$956.04	$1,514.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $760.22 / $1,022.42 / $1,552.72	Professional		$760.22	$1,022.42	$1,552.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.52 / $789.48 / $1,239.45	Professional		$587.52	$789.48	$1,239.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $654.28 / $737.72 / $1,034.51	Professional		$654.28	$737.72	$1,034.51