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 $1,059.71 / $1,209.11 / $1,453.44	Professional		$1,059.71	$1,209.11	$1,453.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,110.76 / $1,904.16 / $9,470.94	Facility		$1,110.76	$1,904.16	$9,470.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $985.27 / $1,247.10 / $1,737.50	Professional		$985.27	$1,247.10	$1,737.50
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,276.06 / $1,535.36 / $2,140.44	Professional		$1,276.06	$1,535.36	$2,140.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,021.09 / $1,021.09 / $1,021.09	Facility		$1,021.09	$1,021.09	$1,021.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.68 / $1,488.05 / $2,364.06	Professional		$1,116.68	$1,488.05	$2,364.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $31,449.08	Facility		$55.00	$55.00	$31,449.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,375.00 / $10,431.70 / $10,431.70	Professional		$9,375.00	$10,431.70	$10,431.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,099.75 / $1,377.71 / $2,402.87	Facility		$1,099.75	$1,377.71	$2,402.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,361.59 / $1,571.07 / $1,832.92	Professional		$1,361.59	$1,571.07	$1,832.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,720.90 / $1,720.90 / $1,720.90	Professional		$1,720.90	$1,720.90	$1,720.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,099.75 / $1,409.88 / $2,746.78	Facility		$1,099.75	$1,409.88	$2,746.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,116.16 / $1,531.89 / $2,412.17	Professional		$1,116.16	$1,531.89	$2,412.17
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 $898.05 / $1,184.48 / $1,894.57	Professional		$898.05	$1,184.48	$1,894.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $893.91 / $1,020.85 / $1,401.53	Professional		$893.91	$1,020.85	$1,401.53