Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,071.00 / $6,261.00	Facility		$521.00	$2,071.00	$6,261.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.73 / $767.84 / $1,218.68	Professional		$332.73	$767.84	$1,218.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,505.39 / $4,739.10 / $9,538.59	Facility		$2,505.39	$4,739.10	$9,538.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.80 / $723.38 / $1,367.56	Professional		$312.80	$723.38	$1,367.56
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $3,062.32 / $7,191.69	Facility		$330.00	$3,062.32	$7,191.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $300.08 / $2,743.08 / $2,743.08	Facility		$300.08	$2,743.08	$2,743.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.31 / $715.76 / $1,501.36	Professional		$372.31	$715.76	$1,501.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,665.68 / $12,000.00 / $12,000.00	Facility		$1,665.68	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,201.92 / $7,358.63 / $7,579.40	Professional		$3,201.92	$7,358.63	$7,579.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $364.01 / $862.34 / $1,842.07	Facility		$364.01	$862.34	$1,842.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $432.28 / $903.41 / $1,478.30	Professional		$432.28	$903.41	$1,478.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,539.50 / $1,539.50 / $1,539.50	Professional		$1,539.50	$1,539.50	$1,539.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $364.01 / $865.27 / $1,885.51	Facility		$364.01	$865.27	$1,885.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.61 / $833.05 / $1,582.69	Professional		$383.61	$833.05	$1,582.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $692.06 / $991.28 / $1,587.60	Professional		$692.06	$991.28	$1,587.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $700.94 / $787.75 / $1,113.01	Professional		$700.94	$787.75	$1,113.01