Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,596.00 / $12,281.00	Facility		$921.00	$3,596.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.52 / $777.46 / $1,273.06	Professional		$637.52	$777.46	$1,273.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $798.16 / $1,338.59 / $4,980.21	Facility		$798.16	$1,338.59	$4,980.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.29 / $898.14 / $1,316.14	Professional		$670.29	$898.14	$1,316.14
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $892.40 / $892.40 / $1,396.80	Professional		$892.40	$892.40	$1,396.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $716.26 / $716.26 / $716.26	Facility		$716.26	$716.26	$716.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.00 / $1,054.32 / $1,602.08	Professional		$783.00	$1,054.32	$1,602.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,423.34	Facility		$55.00	$55.00	$6,423.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,711.36 / $5,892.48 / $7,130.78	Professional		$5,711.36	$5,892.48	$7,130.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $777.46 / $1,026.53 / $1,759.25	Facility		$777.46	$1,026.53	$1,759.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.23 / $1,221.92 / $1,437.55	Professional		$1,038.23	$1,221.92	$1,437.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.30 / $1,016.30 / $1,016.30	Professional		$1,016.30	$1,016.30	$1,016.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $782.81 / $1,038.08 / $1,804.18	Facility		$782.81	$1,038.08	$1,804.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $783.47 / $1,078.10 / $1,673.88	Professional		$783.47	$1,078.10	$1,673.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.84 / $914.56 / $1,443.01	Professional		$671.84	$914.56	$1,443.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $681.62 / $776.00 / $1,066.01	Professional		$681.62	$776.00	$1,066.01