Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.64 / $4,185.00 / $12,941.00	Facility		$930.64	$4,185.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.16 / $612.23 / $921.30	Professional		$431.16	$612.23	$921.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,787.65 / $29,967.14 / $64,882.58	Facility		$12,787.65	$29,967.14	$64,882.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.04 / $739.00 / $1,075.05	Professional		$556.04	$739.00	$1,075.05
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20,575.82 / $20,575.82 / $28,586.78	Facility		$20,575.82	$20,575.82	$28,586.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $561.16 / $561.16 / $561.16	Facility		$561.16	$561.16	$561.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,475.00 / $19,085.00 / $36,562.00	Facility		$12,475.00	$19,085.00	$36,562.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.99 / $875.71 / $1,248.54	Professional		$680.99	$875.71	$1,248.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,590.87 / $7,954.87 / $8,165.96	Facility		$6,590.87	$7,954.87	$8,165.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,016.73 / $4,016.73 / $5,507.55	Professional		$4,016.73	$4,016.73	$5,507.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.39 / $726.33 / $1,146.77	Facility		$537.39	$726.33	$1,146.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $814.10 / $939.35 / $1,127.21	Professional		$814.10	$939.35	$1,127.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $855.30 / $855.30 / $855.30	Professional		$855.30	$855.30	$855.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $546.83 / $806.56 / $24,270.00	Facility		$546.83	$806.56	$24,270.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $669.26 / $894.56 / $1,413.76	Professional		$669.26	$894.56	$1,413.76
United Facility/Professional Facility Modifier Low / Median / High Price $5,442.00 / $9,916.00 / $25,304.00	Facility		$5,442.00	$9,916.00	$25,304.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.94 / $720.39 / $1,159.74	Professional		$556.94	$720.39	$1,159.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $534.47 / $612.69 / $837.58	Professional		$534.47	$612.69	$837.58