Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,154.80 / $7,648.00 / $23,469.80	Facility		$3,154.80	$7,648.00	$23,469.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,676.80 / $3,099.34 / $5,258.00	Professional		$2,676.80	$3,099.34	$5,258.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,728.40 / $11,634.52 / $24,712.60	Facility		$3,728.40	$11,634.52	$24,712.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,234.65 / $3,265.22	Professional		$5.00	$2,234.65	$3,265.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,204.28 / $4,600.00 / $6,440.00	Facility		$1,204.28	$4,600.00	$6,440.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3,346.00 / $4,564.91 / $6,692.00	Professional		$3,346.00	$4,564.91	$6,692.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $4,780.00	Facility		$4,780.00	$4,780.00	$4,780.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $8,637.45 / $20,658.88	Facility		$3,107.00	$8,637.45	$20,658.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,390.00 / $3,800.00 / $7,378.17	Professional		$2,390.00	$3,800.00	$7,378.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,648.00 / $22,705.00 / $22,705.00	Facility		$7,648.00	$22,705.00	$22,705.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,900.00 / $23,900.00 / $35,850.00	Professional		$23,900.00	$23,900.00	$35,850.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,000.00 / $4,780.00 / $5,736.00	Facility		$3,000.00	$4,780.00	$5,736.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,600.00 / $4,780.00 / $4,780.00	Professional		$4,600.00	$4,780.00	$4,780.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,107.00 / $5,736.00 / $10,755.00	Professional		$3,107.00	$5,736.00	$10,755.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,000.00 / $4,780.00 / $8,637.45	Facility		$3,000.00	$4,780.00	$8,637.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,437.83 / $4,541.12 / $7,255.84	Professional		$2,437.83	$4,541.12	$7,255.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,007.60 / $4,780.00 / $5,736.00	Facility		$2,007.60	$4,780.00	$5,736.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,007.60 / $3,107.00	Professional		$2,007.60	$2,007.60	$3,107.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,864.20 / $1,912.00 / $4,780.00	Professional		$1,864.20	$1,912.00	$4,780.00