Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.87 / $3,846.48 / $14,975.02	Facility		$991.87	$3,846.48	$14,975.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $1,016.67 / $1,053.85	Professional		$991.87	$1,016.67	$1,053.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $668.74 / $1,692.58 / $3,377.14	Facility		$668.74	$1,692.58	$3,377.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.47 / $1,041.47 / $1,041.47	Professional		$1,041.47	$1,041.47	$1,041.47
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $973.44 / $973.44 / $8,327.04	Facility		$973.44	$973.44	$8,327.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,942.16 / $3,942.16 / $3,942.16	Facility		$3,942.16	$3,942.16	$3,942.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,177.84 / $4,104.20 / $5,155.00	Facility		$1,177.84	$4,104.20	$5,155.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,487.04 / $4,711.39 / $5,313.60	Professional		$4,487.04	$4,711.39	$5,313.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,011.71 / $1,239.83 / $2,155.34	Facility		$1,011.71	$1,239.83	$2,155.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $511.55 / $818.48 / $844.06	Professional		$511.55	$818.48	$844.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,341.35 / $1,486.04 / $2,374.61	Professional		$1,341.35	$1,486.04	$2,374.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,016.67 / $1,239.83 / $2,155.34	Facility		$1,016.67	$1,239.83	$2,155.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,046.63	Professional		$1,033.20	$1,033.20	$1,046.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $984.00 / $1,177.84 / $1,590.10	Professional		$984.00	$1,177.84	$1,590.10