Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.37 / $3,682.00 / $12,826.00	Facility		$917.37	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.49 / $746.98 / $1,263.15	Professional		$654.49	$746.98	$1,263.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,141.00 / $8,853.29 / $15,732.53	Facility		$3,141.00	$8,853.29	$15,732.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.85 / $861.80 / $1,174.34	Professional		$680.85	$861.80	$1,174.34
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $958.26 / $2,528.40 / $6,804.00	Facility		$958.26	$2,528.40	$6,804.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $776.24 / $1,012.02 / $1,270.21	Professional		$776.24	$1,012.02	$1,270.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $669.28 / $681.06	Facility		$80.00	$669.28	$681.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.71 / $837.71 / $837.71	Facility		$837.71	$837.71	$837.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.54 / $977.56 / $1,531.66	Professional		$727.54	$977.56	$1,531.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $26,144.65	Facility		$55.00	$55.00	$26,144.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,320.43 / $6,320.43 / $6,370.20	Professional		$6,320.43	$6,320.43	$6,370.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $715.36 / $925.19 / $1,560.09	Facility		$715.36	$925.19	$1,560.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $910.55 / $1,092.66 / $1,354.90	Professional		$910.55	$1,092.66	$1,354.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $976.90 / $976.90 / $976.90	Professional		$976.90	$976.90	$976.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $715.36 / $925.19 / $1,614.37	Facility		$715.36	$925.19	$1,614.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $749.18 / $1,013.77 / $1,550.82	Professional		$749.18	$1,013.77	$1,550.82
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 $584.09 / $801.10 / $1,241.19	Professional		$584.09	$801.10	$1,241.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $621.70 / $705.67 / $980.19	Professional		$621.70	$705.67	$980.19