Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $3,620.00 / $12,281.00	Facility		$893.00	$3,620.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.66 / $611.67 / $879.46	Professional		$549.66	$611.67	$879.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.64 / $7,298.90 / $14,501.13	Facility		$4,108.64	$7,298.90	$14,501.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.19 / $698.94 / $973.78	Professional		$552.19	$698.94	$973.78
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $823.46 / $823.46 / $823.46	Professional		$823.46	$823.46	$823.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $513.87 / $513.87 / $513.87	Facility		$513.87	$513.87	$513.87
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 $629.79 / $785.52 / $1,239.13	Professional		$629.79	$785.52	$1,239.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,816.27 / $4,816.27 / $5,050.35	Professional		$4,816.27	$4,816.27	$5,050.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $581.20 / $764.34 / $1,285.09	Facility		$581.20	$764.34	$1,285.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $760.27 / $894.77 / $1,052.68	Professional		$760.27	$894.77	$1,052.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $715.83 / $795.06 / $812.90	Professional		$715.83	$795.06	$812.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $581.20 / $787.96 / $1,472.57	Facility		$581.20	$787.96	$1,472.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $629.79 / $809.19 / $1,251.33	Professional		$629.79	$809.19	$1,251.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,184.00 / $16,000.00	Facility		$2,608.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.78 / $669.32 / $1,034.40	Professional		$486.78	$669.32	$1,034.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $499.13 / $567.90 / $789.32	Professional		$499.13	$567.90	$789.32