Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,095.33 / $2,400.32 / $3,334.04	Professional		$2,095.33	$2,400.32	$3,334.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,954.84 / $2,474.35 / $3,447.32	Professional		$1,954.84	$2,474.35	$3,447.32
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,004.76 / $3,039.03 / $4,244.82	Professional		$2,004.76	$3,039.03	$4,244.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,980.52 / $1,980.52 / $1,980.52	Facility		$1,980.52	$1,980.52	$1,980.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,213.63 / $2,927.63 / $4,811.45	Professional		$2,213.63	$2,927.63	$4,811.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $62,001.94	Facility		$55.00	$55.00	$62,001.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,290.00 / $27,293.42 / $27,293.42	Professional		$24,290.00	$27,293.42	$27,293.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,213.63 / $2,732.62 / $4,803.45	Facility		$2,213.63	$2,732.62	$4,803.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,688.71 / $3,102.36 / $3,619.42	Professional		$2,688.71	$3,102.36	$3,619.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,598.90 / $3,598.90 / $3,598.90	Professional		$3,598.90	$3,598.90	$3,598.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,213.63 / $2,855.56 / $5,448.94	Facility		$2,213.63	$2,855.56	$5,448.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,213.63 / $2,986.37 / $4,918.38	Professional		$2,213.63	$2,986.37	$4,918.38
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 $1,808.81 / $2,448.67 / $3,797.48	Professional		$1,808.81	$2,448.67	$3,797.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,765.18 / $2,020.63 / $2,764.33	Professional		$1,765.18	$2,020.63	$2,764.33