Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.07 / $12,113.50	Facility		$0.02	$0.07	$12,113.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.00 / $2,710.00 / $6,774.88	Professional		$1,355.00	$2,710.00	$6,774.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $6,596.02 / $14,200.14	Facility		$9.93	$6,596.02	$14,200.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $1,266.90 / $2,167.96	Professional		$4.67	$1,266.90	$2,167.96
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,896.97 / $2,438.96 / $3,793.93	Professional		$1,896.97	$2,438.96	$3,793.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,709.95 / $2,709.95	Facility		$80.00	$2,709.95	$2,709.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,805.20 / $5,953.77 / $12,074.22	Facility		$1,805.20	$5,953.77	$12,074.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,373.30 / $2,574.46 / $4,266.56	Professional		$1,373.30	$2,574.46	$4,266.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,335.92 / $12,872.26 / $12,872.26	Facility		$4,335.92	$12,872.26	$12,872.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,549.75 / $13,549.75 / $20,324.63	Professional		$13,549.75	$13,549.75	$20,324.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,438.96 / $2,709.95 / $4,064.93	Facility		$2,438.96	$2,709.95	$4,064.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $2,709.95 / $3,387.44	Professional		$2,709.95	$2,709.95	$3,387.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,761.47 / $3,251.94 / $6,097.39	Professional		$1,761.47	$3,251.94	$6,097.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,895.45 / $3,522.94 / $11,464.67	Facility		$1,895.45	$3,522.94	$11,464.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,382.08 / $3,116.44 / $4,266.56	Professional		$1,382.08	$3,116.44	$4,266.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,138.18 / $1,734.37	Professional		$1,138.18	$1,138.18	$1,734.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,056.88 / $2,709.95	Professional		$846.27	$1,056.88	$2,709.95