Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $3,174.00 / $10,836.00	Facility		$651.00	$3,174.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.26 / $569.09 / $898.54	Professional		$400.26	$569.09	$898.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $3,057.62 / $6,560.33	Facility		$1,664.27	$3,057.62	$6,560.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.74 / $559.88 / $877.32	Professional		$412.74	$559.88	$877.32
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $1,144.00 / $4,050.00	Facility		$168.30	$1,144.00	$4,050.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $487.75 / $593.78 / $861.93	Professional		$487.75	$593.78	$861.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $381.44 / $772.87 / $772.87	Facility		$381.44	$772.87	$772.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.23 / $628.71 / $911.74	Professional		$451.23	$628.71	$911.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,100.80 / $26,542.00 / $26,542.00	Facility		$3,100.80	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,405.00 / $4,405.00 / $4,860.45	Professional		$4,405.00	$4,405.00	$4,860.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $461.67 / $648.46 / $990.00	Facility		$461.67	$648.46	$990.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $481.77 / $700.75 / $961.21	Professional		$481.77	$700.75	$961.21
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $1,008.24 / $1,008.24 / $1,008.24	Professional	50	$1,008.24	$1,008.24	$1,008.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $424.13 / $559.08 / $707.16	Professional		$424.13	$559.08	$707.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.67 / $653.23 / $1,035.75	Facility		$461.67	$653.23	$1,035.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.38 / $648.75 / $933.98	Professional		$461.38	$648.75	$933.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.34 / $595.12 / $871.13	Professional		$446.34	$595.12	$871.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $482.57 / $544.57 / $766.84	Professional		$482.57	$544.57	$766.84