Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $3,801.89 / $15,135.61	Facility		$51.29	$3,801.89	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $5,011.87 / $18,620.87	Professional		$1,995.26	$5,011.87	$18,620.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $11,748.98 / $25,703.96	Facility		$10.23	$11,748.98	$25,703.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $2,754.23 / $4,570.88	Professional		$5.01	$2,754.23	$4,570.88
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,570.88 / $5,248.07	Professional		$3,548.13	$4,570.88	$5,248.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $5,011.87 / $5,011.87	Facility		$79.43	$5,011.87	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $9,120.11 / $22,387.21	Facility		$3,235.94	$9,120.11	$22,387.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $8,511.38	Professional		$2,570.40	$4,786.30	$8,511.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $23,988.33	Facility		$23,988.33	$23,988.33	$23,988.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,118.86 / $38,018.94 / $38,018.94	Professional		$25,118.86	$38,018.94	$38,018.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,011.87 / $7,585.78	Facility		$4,570.88	$5,011.87	$7,585.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5,011.87 / $6,309.57	Professional		$5.01	$5,011.87	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,128.61	Professional		$4,265.80	$4,265.80	$5,128.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,495.41 / $10,715.19	Professional		$5,011.87	$5,495.41	$10,715.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,606.93 / $19,498.45	Facility		$3,801.89	$6,606.93	$19,498.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,248.07 / $8,511.38	Professional		$2,570.40	$5,248.07	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $5,011.87	Facility		$1,819.70	$2,089.30	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $3,467.37	Professional		$2,089.30	$2,089.30	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,011.87 / $5,011.87	Professional		$1,949.84	$5,011.87	$5,011.87