Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.97 / $3,213.00 / $12,026.00	Facility		$890.97	$3,213.00	$12,026.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.97 / $1,040.98 / $1,837.62	Professional		$890.97	$1,040.98	$1,837.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.06 / $4,799.47 / $9,266.92	Facility		$2,777.06	$4,799.47	$9,266.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.20 / $1,172.05 / $1,932.72	Professional		$776.20	$1,172.05	$1,932.72
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,322.91 / $11,574.58	Facility		$850.00	$4,322.91	$11,574.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $855.43 / $855.43 / $855.43	Facility		$855.43	$855.43	$855.43
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 $989.29 / $1,304.86 / $2,015.01	Professional		$989.29	$1,304.86	$2,015.01
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 $7,307.00 / $7,307.00 / $8,040.53	Professional		$7,307.00	$7,307.00	$8,040.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $947.68 / $1,285.19 / $2,141.58	Facility		$947.68	$1,285.19	$2,141.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.57 / $1,437.70 / $1,691.41	Professional		$1,221.57	$1,437.70	$1,691.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,521.80 / $1,521.80 / $1,521.80	Professional		$1,521.80	$1,521.80	$1,521.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $947.68 / $1,285.19 / $2,446.44	Facility		$947.68	$1,285.19	$2,446.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $989.29 / $1,331.43 / $2,034.08	Professional		$989.29	$1,331.43	$2,034.08
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 $807.26 / $1,109.98 / $1,715.42	Professional		$807.26	$1,109.98	$1,715.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $801.98 / $918.45 / $1,268.41	Professional		$801.98	$918.45	$1,268.41