Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.91 / $2,783.00 / $7,542.00	Facility		$716.91	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.37 / $788.68 / $1,250.51	Professional		$650.37	$788.68	$1,250.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,518.44 / $4,348.89 / $8,431.35	Facility		$2,518.44	$4,348.89	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.87 / $912.44 / $1,243.36	Professional		$720.87	$912.44	$1,243.36
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $821.56 / $1,072.41 / $1,344.37	Professional		$821.56	$1,072.41	$1,344.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $711.02 / $723.03	Facility		$80.00	$711.02	$723.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.81 / $886.81 / $886.81	Facility		$886.81	$886.81	$886.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.95 / $1,009.14 / $1,530.16	Professional		$752.95	$1,009.14	$1,530.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,393.62 / $11,500.00 / $16,394.00	Facility		$4,393.62	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,062.34 / $8,062.34 / $8,062.34	Professional		$8,062.34	$8,062.34	$8,062.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $730.08 / $949.31 / $1,711.22	Facility		$730.08	$949.31	$1,711.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $963.93 / $1,156.71 / $1,434.32	Professional		$963.93	$1,156.71	$1,434.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,227.00 / $1,227.00	Professional		$1,227.00	$1,227.00	$1,227.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $732.77 / $956.58 / $1,754.92	Facility		$732.77	$956.58	$1,754.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.28 / $1,047.33 / $1,595.54	Professional		$776.28	$1,047.33	$1,595.54
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 $605.60 / $809.85 / $1,268.00	Professional		$605.60	$809.85	$1,268.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $658.14 / $746.87 / $1,037.92	Professional		$658.14	$746.87	$1,037.92