Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,261.27 / $1,530.47 / $2,130.39	Professional		$1,261.27	$1,530.47	$2,130.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,420.21 / $2,386.71 / $6,099.38	Facility		$1,420.21	$2,386.71	$6,099.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,298.60 / $1,643.72 / $2,290.07	Professional		$1,298.60	$1,643.72	$2,290.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,374.97 / $1,822.60 / $2,543.69	Professional		$1,374.97	$1,822.60	$2,543.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,262.89 / $1,262.89 / $1,262.89	Facility		$1,262.89	$1,262.89	$1,262.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,447.40 / $1,886.78 / $2,888.85	Professional		$1,447.40	$1,886.78	$2,888.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,446.12	Facility		$55.00	$55.00	$11,446.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,699.04 / $10,273.12 / $12,422.93	Professional		$9,699.04	$10,273.12	$12,422.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,374.97 / $1,758.38 / $3,123.35	Facility		$1,374.97	$1,758.38	$3,123.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,553.48 / $2,160.73 / $2,542.05	Professional		$1,553.48	$2,160.73	$2,542.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.40 / $1,876.40 / $1,876.40	Professional		$1,876.40	$1,876.40	$1,876.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,374.97 / $1,786.70 / $3,525.07	Facility		$1,374.97	$1,786.70	$3,525.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,471.86 / $1,934.77 / $3,014.79	Professional		$1,471.86	$1,934.77	$3,014.79
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.22 / $1,584.80 / $2,517.90	Professional		$1,138.22	$1,584.80	$2,517.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,205.31 / $1,374.97 / $1,892.70	Professional		$1,205.31	$1,374.97	$1,892.70