Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $3,224.00 / $10,893.00	Facility		$789.00	$3,224.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.09 / $734.33 / $1,105.02	Professional		$567.09	$734.33	$1,105.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $3,057.62 / $6,192.64	Facility		$1,664.27	$3,057.62	$6,192.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.01 / $757.76 / $1,062.85	Professional		$612.01	$757.76	$1,062.85
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $820.80 / $2,413.98	Facility		$168.30	$820.80	$2,413.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $565.83 / $565.83 / $591.61	Facility		$565.83	$565.83	$591.61
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 $651.94 / $835.17 / $1,240.40	Professional		$651.94	$835.17	$1,240.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $26,542.00 / $26,542.00	Facility		$5,819.45	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,928.39 / $5,060.64 / $5,590.13	Professional		$4,928.39	$5,060.64	$5,590.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $625.48 / $803.38 / $1,198.30	Facility		$625.48	$803.38	$1,198.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $635.04 / $851.10 / $1,178.44	Professional		$635.04	$851.10	$1,178.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $605.34 / $692.95 / $801.02	Professional		$605.34	$692.95	$801.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $625.48 / $811.19 / $1,294.89	Facility		$625.48	$811.19	$1,294.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.21 / $871.47 / $1,296.30	Professional		$645.21	$871.47	$1,296.30
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 $527.03 / $699.42 / $1,041.90	Professional		$527.03	$699.42	$1,041.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $558.76 / $635.04 / $887.17	Professional		$558.76	$635.04	$887.17