Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $10,836.00	Facility		$969.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,709.54 / $2,014.20 / $2,787.25	Professional		$1,709.54	$2,014.20	$2,787.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,639.96 / $2,075.79 / $2,892.04	Professional		$1,639.96	$2,075.79	$2,892.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,059.48 / $1,274.77 / $1,779.80	Professional		$1,059.48	$1,274.77	$1,779.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,658.93 / $1,658.93 / $1,658.93	Facility		$1,658.93	$1,658.93	$1,658.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,857.54 / $2,420.37 / $3,961.01	Professional		$1,857.54	$2,420.37	$3,961.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $51,994.80	Facility		$55.00	$55.00	$51,994.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,307.00 / $21,307.00 / $21,307.00	Professional		$21,307.00	$21,307.00	$21,307.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,797.53 / $2,236.16 / $4,571.83	Facility		$1,797.53	$2,236.16	$4,571.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,255.16 / $2,602.11 / $3,035.80	Professional		$2,255.16	$2,602.11	$3,035.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,111.60 / $3,111.60 / $3,111.60	Professional		$3,111.60	$3,111.60	$3,111.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,797.53 / $2,292.63 / $4,620.00	Facility		$1,797.53	$2,292.63	$4,620.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,857.54 / $2,508.33 / $4,049.03	Professional		$1,857.54	$2,508.33	$4,049.03
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 $1,516.98 / $1,993.98 / $3,189.52	Professional		$1,516.98	$1,993.98	$3,189.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,480.55 / $1,695.17 / $2,318.30	Professional		$1,480.55	$1,695.17	$2,318.30