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 $1,208.28 / $1,380.20 / $1,920.68	Professional		$1,208.28	$1,380.20	$1,920.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.70 / $1,423.60 / $1,983.39	Professional		$1,124.70	$1,423.60	$1,983.39
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,455.06 / $1,750.73 / $2,440.01	Professional		$1,455.06	$1,750.73	$2,440.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,158.09 / $1,158.09 / $1,158.09	Facility		$1,158.09	$1,158.09	$1,158.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,273.31 / $1,696.96 / $2,685.00	Professional		$1,273.31	$1,696.96	$2,685.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $35,825.40	Facility		$55.00	$55.00	$35,825.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,932.00 / $13,448.23 / $13,448.23	Professional		$11,932.00	$13,448.23	$13,448.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,253.27 / $1,576.91 / $2,745.93	Facility		$1,253.27	$1,576.91	$2,745.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,551.67 / $1,790.39 / $2,088.78	Professional		$1,551.67	$1,790.39	$2,088.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,152.35 / $1,273.31 / $2,068.63	Professional		$1,152.35	$1,273.31	$2,068.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,253.27 / $1,598.30 / $3,135.50	Facility		$1,253.27	$1,598.30	$3,135.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,273.31 / $1,708.07 / $2,709.11	Professional		$1,273.31	$1,708.07	$2,709.11
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 $1,034.18 / $1,360.01 / $2,162.17	Professional		$1,034.18	$1,360.01	$2,162.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,018.69 / $1,164.05 / $1,596.71	Professional		$1,018.69	$1,164.05	$1,596.71