Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,730.00 / $16,034.00	Facility		$921.00	$3,730.00	$16,034.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.35 / $1,801.17 / $2,497.13	Professional		$338.35	$1,801.17	$2,497.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.75 / $7,876.72 / $16,744.22	Facility		$4,755.75	$7,876.72	$16,744.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.11 / $1,559.81 / $2,331.50	Professional		$313.11	$1,559.81	$2,331.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $331.22 / $6,331.35 / $24,070.29	Facility		$331.22	$6,331.35	$24,070.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $497.82 / $542.79 / $565.13	Professional		$497.82	$542.79	$565.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $303.64 / $4,962.91 / $4,962.91	Facility		$303.64	$4,962.91	$4,962.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,912.58 / $4,912.58 / $4,912.58	Facility		$4,912.58	$4,912.58	$4,912.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.13 / $820.84 / $3,323.62	Professional		$393.13	$820.84	$3,323.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,677.99	Facility		$55.00	$55.00	$2,677.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,435.55 / $12,243.62 / $14,479.20	Professional		$6,435.55	$12,243.62	$14,479.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $351.01 / $1,408.32 / $3,027.90	Facility		$351.01	$1,408.32	$3,027.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $428.91 / $2,154.23 / $2,899.94	Professional		$428.91	$2,154.23	$2,899.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $347.46 / $1,344.37 / $3,034.01	Professional		$347.46	$1,344.37	$3,034.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $351.01 / $1,545.76 / $3,940.59	Facility		$351.01	$1,545.76	$3,940.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $393.13 / $1,042.35 / $3,511.29	Professional		$393.13	$1,042.35	$3,511.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $16,000.00	Facility		$2,605.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,627.31 / $2,211.12 / $3,506.56	Professional		$1,627.31	$2,211.12	$3,506.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,414.29 / $1,577.95 / $2,246.37	Professional		$1,414.29	$1,577.95	$2,246.37