Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,620.00 / $12,480.00	Facility		$1,086.00	$3,620.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,365.34 / $1,558.27 / $2,631.75	Professional		$1,365.34	$1,558.27	$2,631.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,418.96 / $1,796.06 / $2,447.44	Professional		$1,418.96	$1,796.06	$2,447.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $808.64 / $1,051.50 / $1,324.97	Professional		$808.64	$1,051.50	$1,324.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,367.38 / $1,400.30	Facility		$80.00	$1,367.38	$1,400.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $1,747.00 / $1,747.00	Facility		$1,747.00	$1,747.00	$1,747.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,552.79 / $2,065.71 / $3,169.48	Professional		$1,552.79	$2,065.71	$3,169.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,330.78	Facility		$55.00	$55.00	$12,330.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,098.24 / $11,320.72 / $13,233.08	Professional		$11,098.24	$11,320.72	$13,233.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,499.66 / $1,911.33 / $2,935.33	Facility		$1,499.66	$1,911.33	$2,935.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,892.28 / $2,270.73 / $2,815.71	Professional		$1,892.28	$2,270.73	$2,815.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,736.06 / $2,664.21 / $5,731.60	Professional		$1,736.06	$2,664.21	$5,731.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,499.66 / $1,928.97 / $3,090.80	Facility		$1,499.66	$1,928.97	$3,090.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,568.82 / $2,161.55 / $3,237.90	Professional		$1,568.82	$2,161.55	$3,237.90
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 $1,235.90 / $1,695.38 / $2,638.01	Professional		$1,235.90	$1,695.38	$2,638.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,292.00 / $1,470.25 / $2,035.06	Professional		$1,292.00	$1,470.25	$2,035.06