Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.82 / $4,149.00 / $11,566.23	Facility		$984.82	$4,149.00	$11,566.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.19 / $813.33 / $1,324.63	Professional		$696.19	$813.33	$1,324.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,302.00 / $7,492.25 / $14,501.13	Facility		$4,302.00	$7,492.25	$14,501.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.10 / $868.03 / $1,209.35	Professional		$681.10	$868.03	$1,209.35
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4,745.45 / $16,496.23 / $35,629.00	Facility		$4,745.45	$16,496.23	$35,629.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $669.50 / $669.50 / $669.50	Facility		$669.50	$669.50	$669.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.82 / $4,105.82 / $4,105.82	Facility		$4,105.82	$4,105.82	$4,105.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.14 / $1,026.13 / $1,574.67	Professional		$768.14	$1,026.13	$1,574.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $16,223.75	Facility		$55.00	$10,160.00	$16,223.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,504.40 / $5,625.28 / $6,282.98	Professional		$5,504.40	$5,625.28	$6,282.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $740.47 / $998.01 / $1,676.28	Facility		$740.47	$998.01	$1,676.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.55 / $1,123.43 / $1,321.69	Professional		$954.55	$1,123.43	$1,321.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.50 / $1,011.50 / $1,011.50	Professional		$1,011.50	$1,011.50	$1,011.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $740.47 / $998.01 / $1,911.85	Facility		$740.47	$998.01	$1,911.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $772.66 / $1,044.33 / $1,661.70	Professional		$772.66	$1,044.33	$1,661.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,333.00 / $16,000.00	Facility		$2,605.00	$7,333.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $632.29 / $869.40 / $1,385.99	Professional		$632.29	$869.40	$1,385.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $626.67 / $717.73 / $991.12	Professional		$626.67	$717.73	$991.12