Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.00 / $3,766.00 / $13,004.00	Facility		$1,267.00	$3,766.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,536.97 / $1,924.58 / $2,688.18	Professional		$1,536.97	$1,924.58	$2,688.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,421.31 / $14,503.08	Facility		$4,122.95	$7,421.31	$14,503.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,616.54 / $2,060.21 / $2,807.40	Professional		$1,616.54	$2,060.21	$2,807.40
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,706.02 / $2,718.58 / $2,832.28	Professional		$2,706.02	$2,718.58	$2,832.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,592.38 / $1,592.38 / $1,592.38	Facility		$1,592.38	$1,592.38	$1,592.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,612.63 / $2,224.75 / $3,231.25	Professional		$1,612.63	$2,224.75	$3,231.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,000.00 / $13,000.00 / $14,811.08	Professional		$13,000.00	$13,000.00	$14,811.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,623.32 / $2,066.57 / $3,432.03	Facility		$1,623.32	$2,066.57	$3,432.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,209.75 / $2,600.71 / $3,059.66	Professional		$2,209.75	$2,600.71	$3,059.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,684.31 / $1,759.18 / $1,775.60	Professional		$1,684.31	$1,759.18	$1,775.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,623.32 / $2,121.32 / $4,095.98	Facility		$1,623.32	$2,121.32	$4,095.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,640.01 / $2,233.69 / $3,454.72	Professional		$1,640.01	$2,233.69	$3,454.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,207.00 / $6,662.00 / $13,237.00	Facility		$2,207.00	$6,662.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,336.59 / $1,797.62 / $2,876.19	Professional		$1,336.59	$1,797.62	$2,876.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,450.74 / $1,640.01 / $2,293.80	Professional		$1,450.74	$1,640.01	$2,293.80