Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,174.00 / $10,639.00	Facility		$788.00	$3,174.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.99 / $690.95 / $1,035.88	Professional		$616.99	$690.95	$1,035.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.40 / $4,164.67 / $7,916.62	Facility		$2,226.40	$4,164.67	$7,916.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.65 / $758.96 / $1,137.71	Professional		$570.65	$758.96	$1,137.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $686.71 / $3,118.93 / $8,100.00	Facility		$686.71	$3,118.93	$8,100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $606.54 / $606.54 / $606.54	Facility		$606.54	$606.54	$606.54
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 $689.60 / $915.04 / $1,413.20	Professional		$689.60	$915.04	$1,413.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $26,542.00 / $26,542.00	Facility		$7,909.30	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,970.08 / $5,167.68 / $5,802.45	Professional		$4,970.08	$5,167.68	$5,802.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $657.45 / $870.67 / $1,493.67	Facility		$657.45	$870.67	$1,493.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.87 / $1,024.95 / $1,205.82	Professional		$870.87	$1,024.95	$1,205.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $838.70 / $838.70 / $838.70	Professional		$838.70	$838.70	$838.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $657.45 / $879.48 / $1,648.34	Facility		$657.45	$879.48	$1,648.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $698.08 / $930.79 / $1,493.54	Professional		$698.08	$930.79	$1,493.54
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 $563.29 / $774.52 / $1,196.99	Professional		$563.29	$774.52	$1,196.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $571.74 / $646.37 / $905.67	Professional		$571.74	$646.37	$905.67