Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,659.59	Professional		$851.14	$1,071.52	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,897.79 / $9,332.54	Facility		$2,691.53	$4,897.79	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,174.90	Professional		$724.44	$891.25	$1,174.90
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $10,964.78 / $24,547.09	Facility		$5,754.40	$10,964.78	$24,547.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,995.26	Professional		$933.25	$1,258.93	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $45,708.82 / $45,708.82	Facility		$9,332.54	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional		$9,772.37	$9,772.37	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,479.11 / $4,786.30	Facility		$870.96	$1,479.11	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,584.89	Professional		$870.96	$1,174.90	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,778.28 / $2,344.23	Professional		$3.02	$1,778.28	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,187.76	Facility		$891.25	$1,230.27	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,949.84	Professional		$933.25	$1,258.93	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,803.84	Facility		$2,187.76	$6,606.93	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,659.59	Professional		$776.25	$1,071.52	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $870.96 / $870.96	Professional		$812.83	$870.96	$870.96