Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,849.00 / $13,004.00	Facility		$983.00	$3,849.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.86 / $1,019.58 / $1,503.42	Professional		$918.86	$1,019.58	$1,503.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,421.31 / $14,503.08	Facility		$4,122.95	$7,421.31	$14,503.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.17 / $1,121.42 / $1,681.05	Professional		$843.17	$1,121.42	$1,681.05
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,149.36 / $1,406.43 / $1,406.43	Professional		$1,149.36	$1,406.43	$1,406.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $886.20 / $886.20 / $886.20	Facility		$886.20	$886.20	$886.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.54 / $1,381.15 / $2,173.42	Professional		$1,047.54	$1,381.15	$2,173.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,569.23 / $8,569.23 / $8,633.48	Professional		$8,569.23	$8,569.23	$8,633.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $997.08 / $1,328.07 / $2,376.00	Facility		$997.08	$1,328.07	$2,376.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,299.35 / $1,529.25 / $1,799.12	Professional		$1,299.35	$1,529.25	$1,799.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.20 / $1,400.20 / $1,400.20	Professional		$1,400.20	$1,400.20	$1,400.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $997.08 / $1,355.41 / $2,652.32	Facility		$997.08	$1,355.41	$2,652.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,048.39 / $1,407.77 / $2,251.09	Professional		$1,048.39	$1,407.77	$2,251.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.58 / $1,172.30 / $1,811.74	Professional		$852.58	$1,172.30	$1,811.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $853.05 / $969.95 / $1,349.26	Professional		$853.05	$969.95	$1,349.26