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 $1,681.75 / $1,946.68 / $2,340.59	Professional		$1,681.75	$1,946.68	$2,340.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.86 / $2,006.05 / $2,794.88	Professional		$1,584.86	$2,006.05	$2,794.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,048.85 / $2,465.17 / $3,441.51	Professional		$2,048.85	$2,465.17	$3,441.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,605.15 / $1,605.15 / $1,605.15	Facility		$1,605.15	$1,605.15	$1,605.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,796.15 / $2,340.38 / $3,659.42	Professional		$1,796.15	$2,340.38	$3,659.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $50,278.28	Facility		$55.00	$55.00	$50,278.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,324.00 / $18,542.75 / $18,542.75	Professional		$18,324.00	$18,542.75	$18,542.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,796.15 / $2,243.07 / $4,194.59	Facility		$1,796.15	$2,243.07	$4,194.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,180.73 / $2,516.23 / $2,935.61	Professional		$2,180.73	$2,516.23	$2,935.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,789.40 / $2,789.40 / $2,789.40	Professional		$2,789.40	$2,789.40	$2,789.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,796.15 / $2,340.96 / $4,420.07	Facility		$1,796.15	$2,340.96	$4,420.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,796.15 / $2,424.84 / $3,964.25	Professional		$1,796.15	$2,424.84	$3,964.25
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 $1,468.70 / $1,939.72 / $3,121.00	Professional		$1,468.70	$1,939.72	$3,121.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,431.69 / $1,639.08 / $2,241.80	Professional		$1,431.69	$1,639.08	$2,241.80