Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,890.45 / $12,882.50	Facility		$1,000.00	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $977.24	Professional		$371.54	$446.68	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,897.79 / $9,549.93	Facility		$2,754.23	$4,897.79	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $645.65	Professional		$371.54	$446.68	$645.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,801.89 / $8,128.31	Facility		$776.25	$3,801.89	$8,128.31
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $426.58	Facility		$389.05	$389.05	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,187.76 / $2,818.38	Facility		$707.95	$2,187.76	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $851.14	Professional		$380.19	$524.81	$851.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $33,884.42 / $33,884.42	Facility		$9,549.93	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,677.35	Professional		$3,548.13	$3,548.13	$4,677.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $549.54 / $1,995.26	Facility		$389.05	$549.54	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $794.33	Professional		$371.54	$446.68	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $758.58 / $1,000.00	Professional		$416.87	$758.58	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $512.86 / $933.25	Facility		$389.05	$512.86	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $954.99	Professional		$363.08	$524.81	$954.99
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 $331.13 / $436.52 / $676.08	Professional		$331.13	$436.52	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $478.63	Professional		$302.00	$416.87	$478.63