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 $1,687.38 / $1,999.71 / $2,394.10	Professional		$1,687.38	$1,999.71	$2,394.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,808.06 / $3,164.11 / $15,737.69	Facility		$1,808.06	$3,164.11	$15,737.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,628.88 / $2,061.76 / $2,872.50	Professional		$1,628.88	$2,061.76	$2,872.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,053.52 / $1,267.59 / $1,768.47	Professional		$1,053.52	$1,267.59	$1,768.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,661.94 / $1,661.94 / $1,661.94	Facility		$1,661.94	$1,661.94	$1,661.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,845.61 / $2,443.82 / $3,967.46	Professional		$1,845.61	$2,443.82	$3,967.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $51,786.02	Facility		$55.00	$55.00	$51,786.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,608.00 / $23,608.00 / $23,608.00	Professional		$23,608.00	$23,608.00	$23,608.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,845.61 / $2,333.64 / $4,594.05	Facility		$1,845.61	$2,333.64	$4,594.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,244.66 / $2,589.98 / $3,021.66	Professional		$2,244.66	$2,589.98	$3,021.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,418.30 / $3,418.30 / $3,418.30	Professional		$3,418.30	$3,418.30	$3,418.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,845.61 / $2,383.91 / $4,890.43	Facility		$1,845.61	$2,383.91	$4,890.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,845.61 / $2,483.69 / $4,030.49	Professional		$1,845.61	$2,483.69	$4,030.49
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 $1,504.22 / $1,974.28 / $3,084.37	Professional		$1,504.22	$1,974.28	$3,084.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,473.65 / $1,685.63 / $2,308.59	Professional		$1,473.65	$1,685.63	$2,308.59