Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.68 / $936.64 / $1,581.34	Professional		$820.68	$936.64	$1,581.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.22 / $1,616.45 / $7,992.35	Facility		$918.22	$1,616.45	$7,992.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.53 / $1,080.35 / $1,472.19	Professional		$853.53	$1,080.35	$1,472.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,315.16 / $1,315.16 / $1,899.42	Facility		$1,315.16	$1,315.16	$1,899.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $834.53 / $850.20	Facility		$80.00	$834.53	$850.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,048.25 / $1,048.25 / $1,048.25	Facility		$1,048.25	$1,048.25	$1,048.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.52 / $1,226.69 / $1,863.67	Professional		$913.52	$1,226.69	$1,863.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,432.60	Facility		$55.00	$55.00	$7,432.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,557.67 / $14,015.54 / $14,015.54	Professional		$8,557.67	$14,015.54	$14,015.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $884.26 / $1,119.31 / $2,023.87	Facility		$884.26	$1,119.31	$2,023.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,139.40 / $1,367.28 / $1,695.43	Professional		$1,139.40	$1,367.28	$1,695.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.40 / $1,083.40 / $1,083.40	Professional		$1,083.40	$1,083.40	$1,083.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $884.26 / $1,122.43 / $2,023.87	Facility		$884.26	$1,122.43	$2,023.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $924.15 / $1,262.89 / $1,906.83	Professional		$924.15	$1,262.89	$1,906.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $6,998.00 / $16,000.00	Facility		$2,600.00	$6,998.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $719.18 / $984.73 / $1,550.87	Professional		$719.18	$984.73	$1,550.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $777.95 / $883.43 / $1,226.38	Professional		$777.95	$883.43	$1,226.38