Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.50 / $1,267.10 / $3,308.07	Facility		$502.50	$1,267.10	$3,308.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.01 / $782.37 / $1,139.97	Professional		$421.01	$782.37	$1,139.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $679.05 / $2,376.67 / $4,421.97	Facility		$679.05	$2,376.67	$4,421.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $359.90 / $512.98	Professional		$5.00	$359.90	$512.98
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $675.62 / $1,043.16 / $1,825.53	Professional		$675.62	$1,043.16	$1,825.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $672.26 / $672.26 / $679.05	Facility		$672.26	$672.26	$679.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.50 / $1,398.61 / $3,430.95	Facility		$474.50	$1,398.61	$3,430.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.90 / $778.66 / $1,663.43	Professional		$359.90	$778.66	$1,663.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,268.87 / $6,193.76 / $6,193.76	Facility		$2,268.87	$6,193.76	$6,193.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,493.67 / $6,493.67 / $9,779.62	Professional		$6,493.67	$6,493.67	$9,779.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $475.34 / $1,303.95 / $1,434.35	Facility		$475.34	$1,303.95	$1,434.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.56 / $1,303.95 / $1,872.00	Professional		$1,173.56	$1,303.95	$1,872.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $847.57 / $1,434.35 / $2,933.89	Professional		$847.57	$1,434.35	$2,933.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $475.34 / $1,303.95 / $1,874.94	Facility		$475.34	$1,303.95	$1,874.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.90 / $821.65 / $1,303.95	Professional		$359.90	$821.65	$1,303.95
United Facility/Professional Facility Modifier Low / Median / High Price $391.22 / $679.05 / $814.86	Facility		$391.22	$679.05	$814.86
United Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $391.22 / $586.78	Professional		$285.20	$391.22	$586.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $335.33 / $1,303.95	Professional		$264.83	$335.33	$1,303.95