Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,504.00 / $10,836.00	Facility		$969.00	$3,504.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,364.73 / $1,621.86 / $2,119.31	Professional		$1,364.73	$1,621.86	$2,119.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,321.69 / $1,672.94 / $2,330.78	Professional		$1,321.69	$1,672.94	$2,330.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $854.57 / $1,028.21 / $1,434.62	Professional		$854.57	$1,028.21	$1,434.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,357.84 / $1,357.84 / $1,357.84	Facility		$1,357.84	$1,357.84	$1,357.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,495.81 / $1,982.72 / $3,168.00	Professional		$1,495.81	$1,982.72	$3,168.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $42,063.32	Facility		$55.00	$55.00	$42,063.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,176.00 / $22,018.91 / $22,018.91	Professional		$19,176.00	$22,018.91	$22,018.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,495.81 / $1,896.69 / $4,028.09	Facility		$1,495.81	$1,896.69	$4,028.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,822.04 / $2,102.36 / $2,452.75	Professional		$1,822.04	$2,102.36	$2,452.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,746.00 / $2,746.00 / $2,746.00	Professional		$2,746.00	$2,746.00	$2,746.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,495.81 / $1,930.47 / $4,028.09	Facility		$1,495.81	$1,930.47	$4,028.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,495.81 / $2,008.56 / $3,301.59	Professional		$1,495.81	$2,008.56	$3,301.59
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 $1,210.92 / $1,589.28 / $2,553.07	Professional		$1,210.92	$1,589.28	$2,553.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,196.20 / $1,367.30 / $1,874.76	Professional		$1,196.20	$1,367.30	$1,874.76