Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,715.35 / $12,589.25	Facility		$1,148.15	$3,715.35	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,238.72	Professional		$1,122.02	$1,318.26	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $18,620.87 / $36,307.81	Facility		$9,120.11	$18,620.87	$36,307.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,949.84	Professional		$1,174.90	$1,479.11	$1,949.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,089.30	Professional		$1,258.93	$1,698.24	$2,089.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,148.15 / $1,174.90	Facility		$79.43	$1,148.15	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,630.27	Professional		$1,230.27	$1,659.59	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $33,884.42 / $53,703.18	Facility		$33,884.42	$33,884.42	$53,703.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $10,964.78 / $10,964.78	Professional		$9,120.11	$10,964.78	$10,964.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $4,466.84	Facility		$1,148.15	$1,659.59	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,137.96	Professional		$1,122.02	$1,584.89	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $162.18 / $1,071.52	Professional		$32.36	$162.18	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,344.23	Professional		$1,412.54	$1,412.54	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,754.23	Facility		$1,202.26	$1,584.89	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,630.27	Professional		$1,148.15	$1,659.59	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,782.79	Facility		$2,630.27	$8,317.64	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,041.74	Professional		$1,000.00	$1,348.96	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27