Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,184.00 / $10,546.00	Facility		$727.00	$3,184.00	$10,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.99 / $445.53 / $606.55	Professional		$375.99	$445.53	$606.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,173.72 / $6,474.38 / $12,314.01	Facility		$3,173.72	$6,474.38	$12,314.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.98 / $380.85 / $606.82	Professional		$305.98	$380.85	$606.82
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $4,773.42 / $8,592.16	Facility		$673.20	$4,773.42	$8,592.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $770.79 / $843.91 / $843.91	Professional		$770.79	$843.91	$843.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $339.18 / $4,177.43 / $4,177.43	Facility		$339.18	$4,177.43	$4,177.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,619.61 / $3,619.61 / $3,619.61	Facility		$3,619.61	$3,619.61	$3,619.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.71 / $541.09 / $1,000.11	Professional		$406.71	$541.09	$1,000.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,908.00 / $4,908.00 / $4,908.00	Professional		$4,908.00	$4,908.00	$4,908.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $604.55 / $1,076.13	Facility		$383.07	$604.55	$1,076.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $487.79 / $574.09 / $675.40	Professional		$487.79	$574.09	$675.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,041.00 / $1,041.00 / $1,041.00	Professional		$1,041.00	$1,041.00	$1,041.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $625.57 / $1,143.42	Facility		$383.07	$625.57	$1,143.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $412.55 / $550.07 / $1,008.80	Professional		$412.55	$550.07	$1,008.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,347.00 / $7,600.00	Facility		$1,154.00	$3,347.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.54 / $470.16 / $754.19	Professional		$326.54	$470.16	$754.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $320.24 / $367.61 / $506.34	Professional		$320.24	$367.61	$506.34