Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,673.00 / $7,542.00	Facility		$803.00	$2,673.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.20 / $1,248.07 / $1,863.81	Professional		$908.20	$1,248.07	$1,863.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.77 / $391.89 / $1,567.58	Facility		$228.77	$391.89	$1,567.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,038.46 / $1,319.40 / $1,761.01	Professional		$1,038.46	$1,319.40	$1,761.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $336.90 / $336.90 / $486.57	Facility		$336.90	$336.90	$486.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $950.33 / $950.33 / $992.30	Facility		$950.33	$950.33	$992.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.56 / $362.56 / $374.41	Facility		$362.56	$362.56	$374.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.73 / $1,409.23 / $2,089.64	Professional		$1,071.73	$1,409.23	$2,089.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,149.84	Facility		$55.00	$55.00	$9,149.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,349.84 / $8,606.32 / $9,431.40	Professional		$8,349.84	$8,606.32	$9,431.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,085.55 / $1,359.24 / $2,054.26	Facility		$1,085.55	$1,359.24	$2,054.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.56 / $1,660.35 / $2,042.00	Professional		$1,074.56	$1,660.35	$2,042.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $964.13 / $1,187.04 / $2,048.63	Professional		$964.13	$1,187.04	$2,048.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,074.56 / $1,359.24 / $2,154.46	Facility		$1,074.56	$1,359.24	$2,154.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,074.56 / $1,461.39 / $2,181.66	Professional		$1,074.56	$1,461.39	$2,181.66
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,643.00 / $4,090.00	Facility		$421.00	$1,643.00	$4,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $891.86 / $1,143.04 / $1,717.14	Professional		$891.86	$1,143.04	$1,717.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $944.71 / $1,074.56 / $1,500.40	Professional		$944.71	$1,074.56	$1,500.40