Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,041.74	Professional		$1,122.02	$1,318.26	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $5,248.07	Facility		$1,258.93	$2,137.96	$5,248.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $1,380.38	Professional		$1,096.48	$1,148.15	$1,380.38
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,511.89	Professional		$1,202.26	$1,584.89	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,964.78	Facility		$54.95	$56.23	$10,964.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $10,000.00	Professional		$9,549.93	$10,000.00	$10,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $4,168.69	Facility		$1,096.48	$1,698.24	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,949.84	Professional		$1,148.15	$1,445.44	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,290.87 / $2,951.21	Professional		$7.08	$2,290.87	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,754.23	Facility		$1,122.02	$1,584.89	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,511.89	Professional		$1,174.90	$1,621.81	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,089.30	Professional		$1,000.00	$1,348.96	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,122.02 / $1,122.02	Professional		$1,047.13	$1,122.02	$1,122.02