Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $3,026.00 / $10,893.00	Facility		$747.00	$3,026.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.10 / $474.88 / $790.00	Professional		$401.10	$474.88	$790.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,040.62 / $3,687.04 / $7,861.04	Facility		$2,040.62	$3,687.04	$7,861.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.34 / $534.05 / $749.10	Professional		$431.34	$534.05	$749.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,742.76 / $2,223.52 / $5,412.60	Facility		$1,742.76	$2,223.52	$5,412.60
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $467.95 / $467.95 / $467.95	Professional		$467.95	$467.95	$467.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $441.86 / $3,317.36 / $3,317.36	Facility		$441.86	$3,317.36	$3,317.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.66 / $534.66 / $534.66	Facility		$534.66	$534.66	$534.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.66 / $622.01 / $973.74	Professional		$474.66	$622.01	$973.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,817.20	Facility		$55.00	$55.00	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,374.72 / $3,444.80 / $4,082.70	Professional		$3,374.72	$3,444.80	$4,082.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $438.70 / $556.78 / $954.00	Facility		$438.70	$556.78	$954.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.10 / $695.78 / $862.76	Professional		$544.10	$695.78	$862.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $521.14 / $552.86 / $807.87	Professional		$521.14	$552.86	$807.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $438.70 / $575.61 / $976.04	Facility		$438.70	$575.61	$976.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $479.18 / $643.80 / $978.68	Professional		$479.18	$643.80	$978.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,239.00 / $7,600.00	Facility		$1,165.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.50 / $500.26 / $804.30	Professional		$378.50	$500.26	$804.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $395.88 / $449.99 / $622.47	Professional		$395.88	$449.99	$622.47