Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,747.38 / $12,602.10 / $35,317.60	Facility		$4,747.38	$12,602.10	$35,317.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,028.08 / $5,035.10 / $8,631.60	Professional		$4,028.08	$5,035.10	$8,631.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,840.37 / $20,212.33 / $38,050.97	Facility		$7,840.37	$20,212.33	$38,050.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $3,812.29 / $7,193.00	Professional		$5.00	$3,812.29	$7,193.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $5,035.10 / $6,473.70 / $7,650.00	Professional		$5,035.10	$6,473.70	$7,650.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $7,193.00 / $7,193.00 / $7,193.00	Facility		$7,193.00	$7,193.00	$7,193.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,675.45 / $16,881.65 / $32,047.94	Facility		$4,675.45	$16,881.65	$32,047.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,302.34 / $4,156.09 / $11,324.28	Professional		$3,302.34	$4,156.09	$11,324.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,508.80 / $34,166.75 / $34,166.75	Facility		$11,508.80	$34,166.75	$34,166.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $35,821.14 / $35,821.14 / $53,947.50	Professional		$35,821.14	$35,821.14	$53,947.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,387.72 / $7,193.00 / $10,789.50	Facility		$4,387.72	$7,193.00	$10,789.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,193.00 / $7,193.00 / $8,991.25	Professional		$7,193.00	$7,193.00	$8,991.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,675.45 / $8,631.60 / $16,184.25	Professional		$4,675.45	$8,631.60	$16,184.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,816.76 / $7,405.91 / $25,905.22	Facility		$4,816.76	$7,405.91	$25,905.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,403.58 / $6,797.28 / $11,277.37	Professional		$3,403.58	$6,797.28	$11,277.37
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.06 / $3,021.06 / $4,603.52	Professional		$3,021.06	$3,021.06	$4,603.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,877.20 / $2,877.20 / $7,193.00	Professional		$2,877.20	$2,877.20	$7,193.00