Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.52 / $2,578.00 / $8,328.00	Facility		$658.52	$2,578.00	$8,328.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,531.50 / $4,594.50 / $7,524.00	Facility	50	$1,531.50	$4,594.50	$7,524.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.35 / $678.52 / $1,036.32	Professional		$456.35	$678.52	$1,036.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,095.42 / $3,990.00 / $7,696.71	Facility		$2,095.42	$3,990.00	$7,696.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.24 / $695.84 / $1,165.88	Professional		$459.24	$695.84	$1,165.88
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $294.36 / $2,579.73 / $6,497.87	Facility		$294.36	$2,579.73	$6,497.87
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $680.38 / $680.38 / $680.38	Professional		$680.38	$680.38	$680.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $439.73 / $439.73 / $439.73	Facility		$439.73	$439.73	$439.73
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 $525.60 / $779.40 / $1,264.82	Professional		$525.60	$779.40	$1,264.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,418.20 / $16,394.00 / $16,394.00	Facility		$3,418.20	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,058.00 / $5,714.48 / $6,247.88	Professional		$5,058.00	$5,714.48	$6,247.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $486.00 / $755.36 / $1,433.74	Facility		$486.00	$755.36	$1,433.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $631.17 / $903.07 / $1,294.90	Professional		$631.17	$903.07	$1,294.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $699.30 / $699.30 / $699.30	Professional		$699.30	$699.30	$699.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $486.00 / $760.70 / $1,511.41	Facility		$486.00	$760.70	$1,511.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.89 / $807.40 / $1,403.93	Professional		$526.89	$807.40	$1,403.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $4,063.00 / $8,759.00	Facility		$1,273.00	$4,063.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.88 / $785.72 / $1,215.32	Professional		$578.88	$785.72	$1,215.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $613.98 / $690.23 / $974.03	Professional		$613.98	$690.23	$974.03