Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,213.00 / $10,836.00	Facility		$803.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.81 / $806.61 / $1,393.63	Professional		$689.81	$806.61	$1,393.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,272.21 / $4,663.12 / $8,300.99	Facility		$2,272.21	$4,663.12	$8,300.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.59 / $804.75 / $1,197.42	Professional		$600.59	$804.75	$1,197.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,486.39 / $1,636.27 / $1,636.27	Professional		$1,486.39	$1,636.27	$1,636.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $664.36 / $664.36 / $664.36	Facility		$664.36	$664.36	$664.36
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 $765.91 / $1,008.39 / $1,558.85	Professional		$765.91	$1,008.39	$1,558.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $26,542.00 / $26,542.00	Facility		$9,388.90	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,588.00 / $5,588.00 / $6,223.73	Professional		$5,588.00	$5,588.00	$6,223.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $734.01 / $990.69 / $1,657.18	Facility		$734.01	$990.69	$1,657.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $945.30 / $1,112.54 / $1,308.86	Professional		$945.30	$1,112.54	$1,308.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,193.40 / $1,193.40 / $1,193.40	Professional		$1,193.40	$1,193.40	$1,193.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $734.01 / $995.80 / $1,892.97	Facility		$734.01	$995.80	$1,892.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $765.91 / $1,029.33 / $1,573.81	Professional		$765.91	$1,029.33	$1,573.81
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 $624.50 / $858.68 / $1,327.05	Professional		$624.50	$858.68	$1,327.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $620.60 / $710.21 / $981.76	Professional		$620.60	$710.21	$981.76