Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.47 / $2,562.00 / $7,495.00	Facility		$621.47	$2,562.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.61 / $540.88 / $777.83	Professional		$252.61	$540.88	$777.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,535.57 / $4,739.10 / $9,393.00	Facility		$2,535.57	$4,739.10	$9,393.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.39 / $478.36 / $931.82	Professional		$236.39	$478.36	$931.82
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $517.84 / $568.08 / $568.08	Professional		$517.84	$568.08	$568.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $227.87 / $227.87 / $227.87	Facility		$227.87	$227.87	$227.87
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 $284.66 / $525.24 / $1,055.38	Professional		$284.66	$525.24	$1,055.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.34 / $16,394.00 / $16,394.00	Facility		$1,778.34	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,183.23 / $9,121.74 / $9,395.39	Professional		$2,183.23	$9,121.74	$9,395.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $276.33 / $588.79 / $1,763.98	Facility		$276.33	$588.79	$1,763.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $328.42 / $614.48 / $1,005.52	Professional		$328.42	$614.48	$1,005.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.30 / $1,125.30 / $1,125.30	Professional		$1,125.30	$1,125.30	$1,125.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $596.71 / $1,833.97	Facility		$276.41	$596.71	$1,833.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.77 / $566.59 / $1,107.36	Professional		$294.77	$566.59	$1,107.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,293.00 / $7,600.00	Facility		$1,154.00	$3,293.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.78 / $658.21 / $1,548.89	Professional		$448.78	$658.21	$1,548.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $476.77 / $536.63 / $756.84	Professional		$476.77	$536.63	$756.84