Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $2,986.00 / $8,883.00	Facility		$727.00	$2,986.00	$8,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.69 / $745.72 / $1,239.56	Professional		$322.69	$745.72	$1,239.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,885.89 / $3,981.32 / $7,916.62	Facility		$1,885.89	$3,981.32	$7,916.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.04 / $697.13 / $1,252.01	Professional		$269.04	$697.13	$1,252.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,579.73 / $5,481.32	Facility		$625.00	$2,579.73	$5,481.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,072.57 / $1,281.42 / $1,281.42	Professional		$1,072.57	$1,281.42	$1,281.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $362.77 / $2,268.82 / $2,268.82	Facility		$362.77	$2,268.82	$2,268.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.65 / $2,001.65 / $2,001.65	Facility		$2,001.65	$2,001.65	$2,001.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.29 / $844.54 / $1,496.76	Professional		$381.29	$844.54	$1,496.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,819.04 / $26,542.00 / $26,542.00	Facility		$2,819.04	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,581.36 / $6,860.64 / $8,086.28	Professional		$3,581.36	$6,860.64	$8,086.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.65 / $792.90 / $1,478.05	Facility		$338.65	$792.90	$1,478.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $519.74 / $1,133.60 / $1,670.44	Professional		$519.74	$1,133.60	$1,670.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.75 / $505.36 / $1,129.57	Professional		$380.75	$505.36	$1,129.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.65 / $798.23 / $1,607.09	Facility		$338.65	$798.23	$1,607.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.57 / $922.09 / $1,672.05	Professional		$384.57	$922.09	$1,672.05
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $714.25 / $970.62 / $1,535.15	Professional		$714.25	$970.62	$1,535.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $792.04 / $883.74 / $1,259.09	Professional		$792.04	$883.74	$1,259.09