Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,589.25	Facility		$977.24	$3,715.35	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,412.54	Professional		$724.44	$870.96	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $14,454.40	Facility		$3,890.45	$7,762.47	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $758.58 / $1,174.90	Professional		$338.84	$758.58	$1,174.90
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $812.83	Facility		$741.31	$741.31	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,511.89	Facility		$891.25	$1,348.96	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,659.59	Professional		$645.65	$1,000.00	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,489.63	Facility		$54.95	$56.23	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $7,244.36	Professional		$6,918.31	$6,918.31	$7,244.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $2,570.40	Facility		$758.58	$1,023.29	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,380.38	Professional		$707.95	$870.96	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,445.44 / $1,905.46	Professional		$812.83	$1,445.44	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $977.24 / $1,659.59	Facility		$758.58	$977.24	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,819.70	Professional		$602.56	$1,000.00	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,011.87 / $10,964.78	Facility		$1,698.24	$5,011.87	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,288.25	Professional		$630.96	$851.14	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $912.01	Professional		$616.60	$812.83	$912.01