Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,754.40 / $19,952.62	Facility		$2,344.23	$5,754.40	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $4,677.35	Professional		$2,344.23	$3,162.28	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.50 / $2,570.40	Professional		$5.01	$5.50	$2,570.40
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $4,365.16	Professional		$2,691.53	$3,467.37	$4,365.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,079.46 / $16,982.44	Facility		$2,511.89	$7,079.46	$16,982.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $6,606.93	Professional		$1,698.24	$2,630.27	$6,606.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility		$18,197.01	$18,197.01	$18,197.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $28,840.32 / $28,840.32	Professional		$19,498.45	$28,840.32	$28,840.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,890.45 / $8,709.64	Facility		$2,951.21	$3,890.45	$8,709.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $3,090.30 / $4,677.35	Professional		$7.08	$3,090.30	$4,677.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,168.69 / $8,317.64	Professional		$3,890.45	$4,168.69	$8,317.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,168.69 / $11,220.18	Facility		$2,754.23	$4,168.69	$11,220.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $6,025.60	Professional		$1,698.24	$2,754.23	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $3,890.45	Facility		$1,380.38	$1,621.81	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,691.53	Professional		$1,621.81	$1,621.81	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Professional		$1,513.56	$3,890.45	$3,890.45