Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $3,682.00 / $10,836.00	Facility		$893.00	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.61 / $693.19 / $1,016.66	Professional		$620.61	$693.19	$1,016.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,253.66 / $7,395.58 / $14,694.48	Facility		$4,253.66	$7,395.58	$14,694.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.79 / $733.25 / $1,067.10	Professional		$603.79	$733.25	$1,067.10
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,818.40 / $5,069.04 / $6,945.75	Facility		$1,818.40	$5,069.04	$6,945.75
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $639.73 / $848.94 / $1,183.50	Professional		$639.73	$848.94	$1,183.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $627.44 / $3,561.53 / $3,561.53	Facility		$627.44	$3,561.53	$3,561.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,024.00 / $3,720.90 / $4,619.00	Facility		$2,024.00	$3,720.90	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.00 / $888.98 / $1,389.64	Professional		$665.00	$888.98	$1,389.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,800.00 / $16,223.75	Facility		$55.00	$2,800.00	$16,223.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,765.76 / $4,870.32 / $5,816.10	Professional		$4,765.76	$4,870.32	$5,816.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.75 / $745.01 / $1,460.83	Facility		$634.75	$745.01	$1,460.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $756.99 / $1,007.12 / $1,224.34	Professional		$756.99	$1,007.12	$1,224.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,365.40 / $1,701.70	Professional		$7.00	$1,365.40	$1,701.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $639.73 / $757.10 / $1,723.92	Facility		$639.73	$757.10	$1,723.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.41 / $928.30 / $1,679.09	Professional		$676.41	$928.30	$1,679.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $6,926.00 / $16,000.00	Facility		$2,600.00	$6,926.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.02 / $750.46 / $1,218.14	Professional		$552.02	$750.46	$1,218.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $561.79 / $653.08 / $881.59	Professional		$561.79	$653.08	$881.59