Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.88 / $3,647.00 / $12,480.00	Facility		$927.88	$3,647.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.74 / $994.16 / $1,680.34	Professional		$836.74	$994.16	$1,680.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,822.67 / $9,092.56 / $18,252.08	Facility		$4,822.67	$9,092.56	$18,252.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $899.98 / $1,114.30 / $1,562.97	Professional		$899.98	$1,114.30	$1,562.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $985.68 / $1,174.70 / $1,607.41	Professional		$985.68	$1,174.70	$1,607.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $879.84 / $898.22	Facility		$80.00	$879.84	$898.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,112.98 / $1,112.98 / $1,112.98	Facility		$1,112.98	$1,112.98	$1,112.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.14 / $1,294.44 / $1,935.94	Professional		$949.14	$1,294.44	$1,935.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,913.50	Facility		$55.00	$55.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,097.52 / $7,235.44 / $8,460.08	Professional		$7,097.52	$7,235.44	$8,460.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $927.88 / $1,140.41 / $1,916.65	Facility		$927.88	$1,140.41	$1,916.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.76 / $1,451.72 / $1,800.13	Professional		$1,209.76	$1,451.72	$1,800.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $919.30 / $1,003.33 / $2,202.57	Professional		$919.30	$1,003.33	$2,202.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $928.61 / $1,167.67 / $1,992.03	Facility		$928.61	$1,167.67	$1,992.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $995.75 / $1,337.44 / $2,034.83	Professional		$995.75	$1,337.44	$2,034.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $766.82 / $1,052.06 / $1,627.07	Professional		$766.82	$1,052.06	$1,627.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $826.00 / $938.74 / $1,301.75	Professional		$826.00	$938.74	$1,301.75