Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.16 / $3,481.00 / $10,893.00	Facility		$822.16	$3,481.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.96 / $822.16 / $1,257.48	Professional		$722.96	$822.16	$1,257.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,795.47 / $7,298.90 / $14,501.13	Facility		$3,795.47	$7,298.90	$14,501.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.10 / $798.35 / $1,272.04	Professional		$494.10	$798.35	$1,272.04
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $762.11 / $762.11 / $762.11	Professional		$762.11	$762.11	$762.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $744.42 / $744.42 / $769.09	Facility		$744.42	$744.42	$769.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.85 / $1,037.22 / $1,617.01	Professional		$753.85	$1,037.22	$1,617.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,486.75	Facility		$55.00	$55.00	$13,486.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,927.75 / $7,231.97 / $7,231.97	Professional		$6,927.75	$7,231.97	$7,231.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $750.63 / $912.46 / $1,623.67	Facility		$750.63	$912.46	$1,623.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $901.69 / $1,199.64 / $1,458.39	Professional		$901.69	$1,199.64	$1,458.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $770.32 / $998.40 / $1,685.29	Professional		$770.32	$998.40	$1,685.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $751.89 / $915.49 / $1,801.84	Facility		$751.89	$915.49	$1,801.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $765.61 / $1,099.11 / $1,995.90	Professional		$765.61	$1,099.11	$1,995.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $627.96 / $858.49 / $1,350.53	Professional		$627.96	$858.49	$1,350.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $669.19 / $777.91 / $1,050.06	Professional		$669.19	$777.91	$1,050.06