Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,556.17 / $6,785.50 / $19,016.40	Facility		$2,556.17	$6,785.50	$19,016.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,168.88 / $2,711.10 / $4,647.60	Professional		$2,168.88	$2,711.10	$4,647.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.50 / $2,130.15	Professional		$5.00	$5.50	$2,130.15
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,711.10 / $3,485.70 / $4,860.00	Professional		$2,711.10	$3,485.70	$4,860.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,556.92 / $3,556.92 / $3,873.00	Facility		$3,556.92	$3,556.92	$3,873.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,579.92 / $8,508.98 / $17,256.00	Facility		$2,579.92	$8,508.98	$17,256.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,763.89 / $2,166.75 / $6,045.21	Professional		$1,763.89	$2,166.75	$6,045.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,196.80 / $18,396.75 / $18,396.75	Facility		$6,196.80	$18,396.75	$18,396.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,365.00 / $19,365.00 / $29,047.50	Professional		$19,365.00	$19,365.00	$29,047.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,362.53 / $3,873.00 / $5,809.50	Facility		$2,362.53	$3,873.00	$5,809.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,679.35 / $3,950.46 / $5,809.50	Professional		$3,679.35	$3,950.46	$5,809.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,517.44 / $4,647.60 / $8,714.25	Professional		$2,517.44	$4,647.60	$8,714.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,630.74 / $4,153.79 / $13,949.06	Facility		$2,630.74	$4,153.79	$13,949.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,781.90 / $3,485.70 / $5,879.40	Professional		$1,781.90	$3,485.70	$5,879.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,394.28 / $1,626.66 / $3,873.00	Facility		$1,394.28	$1,626.66	$3,873.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,626.66 / $3,873.00	Professional		$1,626.66	$1,626.66	$3,873.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $3,873.00	Professional		$1,549.20	$1,549.20	$3,873.00