Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $3,102.00 / $10,546.00	Facility		$671.00	$3,102.00	$10,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.61 / $592.23 / $828.12	Professional		$436.61	$592.23	$828.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,138.17 / $4,059.90 / $7,696.71	Facility		$2,138.17	$4,059.90	$7,696.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.73 / $628.11 / $1,016.58	Professional		$436.73	$628.11	$1,016.58
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,697.26 / $2,697.26 / $3,895.52	Facility		$2,697.26	$2,697.26	$3,895.52
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,039.75 / $1,039.75 / $1,039.75	Professional		$1,039.75	$1,039.75	$1,039.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $417.34 / $417.34 / $417.34	Facility		$417.34	$417.34	$417.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.65 / $2,001.65 / $2,001.65	Facility		$2,001.65	$2,001.65	$2,001.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.55 / $723.43 / $1,215.67	Professional		$501.55	$723.43	$1,215.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,250.44 / $26,542.00 / $26,542.00	Facility		$3,250.44	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,458.00 / $4,678.39 / $5,467.50	Professional		$4,458.00	$4,678.39	$5,467.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $470.01 / $667.91 / $1,261.69	Facility		$470.01	$667.91	$1,261.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $600.48 / $819.99 / $1,135.36	Professional		$600.48	$819.99	$1,135.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $607.79 / $607.79 / $607.79	Professional		$607.79	$607.79	$607.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $471.93 / $679.37 / $1,333.79	Facility		$471.93	$679.37	$1,333.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $508.88 / $754.17 / $1,300.85	Professional		$508.88	$754.17	$1,300.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.96 / $731.13 / $1,101.85	Professional		$520.96	$731.13	$1,101.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $538.33 / $607.19 / $853.39	Professional		$538.33	$607.19	$853.39