Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,920.00 / $19,800.00 / $58,920.00	Facility		$7,920.00	$19,800.00	$58,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $7,560.00 / $13,440.00	Professional		$1,000.00	$7,560.00	$13,440.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,490.40 / $29,280.00 / $62,160.00	Facility		$1,490.40	$29,280.00	$62,160.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5,610.00 / $8,197.20	Professional		$5.00	$5,610.00	$8,197.20
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $8,400.00 / $11,460.08 / $16,800.00	Professional		$8,400.00	$11,460.08	$16,800.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $12,000.00 / $12,000.00	Facility		$12,000.00	$12,000.00	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,185.62 / $21,684.00 / $51,861.81	Facility		$6,185.62	$21,684.00	$51,861.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,100.30 / $9,071.93 / $18,522.07	Professional		$2,100.30	$9,071.93	$18,522.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,200.00 / $57,000.00 / $57,000.00	Facility		$19,200.00	$57,000.00	$57,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $60,000.00 / $60,000.00 / $90,000.00	Professional		$60,000.00	$60,000.00	$90,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,200.00 / $12,000.00 / $14,400.00	Facility		$7,200.00	$12,000.00	$14,400.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10,800.00 / $12,000.00 / $12,000.00	Professional		$10,800.00	$12,000.00	$12,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,800.00 / $14,400.00 / $27,000.00	Professional		$7,800.00	$14,400.00	$27,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,360.00 / $12,000.00 / $21,684.00	Facility		$6,360.00	$12,000.00	$21,684.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,120.08 / $11,400.13 / $18,215.91	Professional		$6,120.08	$11,400.13	$18,215.91
United Facility/Professional Professional Modifier Low / Median / High Price $5,040.00 / $5,040.00 / $7,680.00	Professional		$5,040.00	$5,040.00	$7,680.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,680.00 / $4,800.00 / $12,000.00	Professional		$4,680.00	$4,800.00	$12,000.00