Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $12,040.00	Facility		$945.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.93 / $1,462.43 / $2,398.23	Professional		$672.93	$1,462.43	$2,398.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,681.51 / $6,643.64 / $12,652.54	Facility		$3,681.51	$6,643.64	$12,652.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.41 / $1,359.79 / $2,427.69	Professional		$632.41	$1,359.79	$2,427.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,142.40 / $5,069.04 / $10,396.07	Facility		$2,142.40	$5,069.04	$10,396.07
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,377.98 / $1,518.44 / $1,518.44	Professional		$1,377.98	$1,518.44	$1,518.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $518.77 / $4,306.39 / $4,306.39	Facility		$518.77	$4,306.39	$4,306.39
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 $740.83 / $1,411.72 / $3,225.88	Professional		$740.83	$1,411.72	$3,225.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,753.02 / $26,542.00 / $26,542.00	Facility		$4,753.02	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,886.31 / $13,089.90 / $16,950.43	Professional		$5,886.31	$13,089.90	$16,950.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $716.60 / $1,525.76 / $3,793.32	Facility		$716.60	$1,525.76	$3,793.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $877.18 / $1,662.00 / $2,719.64	Professional		$877.18	$1,662.00	$2,719.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,089.40 / $1,089.40 / $1,089.40	Professional		$1,089.40	$1,089.40	$1,089.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $718.56 / $1,561.75 / $4,077.97	Facility		$718.56	$1,561.75	$4,077.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $761.02 / $1,541.79 / $3,345.62	Professional		$761.02	$1,541.79	$3,345.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,459.28 / $2,042.99 / $3,429.20	Professional		$1,459.28	$2,042.99	$3,429.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,289.52 / $1,448.90 / $2,047.77	Professional		$1,289.52	$1,448.90	$2,047.77