Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,866.02 / $7,227.02 / $18,867.70	Facility		$2,866.02	$7,227.02	$18,867.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,168.88 / $2,943.48 / $4,209.18	Professional		$2,168.88	$2,943.48	$4,209.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,446.97 / $10,476.46 / $20,294.52	Facility		$3,446.97	$10,476.46	$20,294.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,052.69 / $3,098.40	Professional		$5.00	$2,052.69	$3,098.40
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,711.10 / $3,485.70 / $4,477.49	Professional		$2,711.10	$3,485.70	$4,477.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $3,873.00	Facility		$3,873.00	$3,873.00	$3,873.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,482.42 / $8,853.61 / $17,256.00	Facility		$2,482.42	$8,853.61	$17,256.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,816.36 / $3,679.32 / $6,597.17	Professional		$1,816.36	$3,679.32	$6,597.17
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 $3,873.00 / $3,873.00 / $4,841.25	Professional		$3,873.00	$3,873.00	$4,841.25
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 $2,593.54 / $4,453.95 / $14,374.59	Facility		$2,593.54	$4,453.95	$14,374.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,975.30 / $4,453.95 / $6,510.37	Professional		$1,975.30	$4,453.95	$6,510.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,434.65 / $3,873.00 / $4,647.60	Facility		$1,434.65	$3,873.00	$4,647.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,358.96 / $1,626.66 / $2,478.71	Professional		$1,358.96	$1,626.66	$2,478.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $2,006.21 / $3,873.00	Professional		$1,549.20	$2,006.21	$3,873.00