Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.29	Professional		$1.29	$1.29	$1.29
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $557.60 / $557.60 / $557.60	Professional		$557.60	$557.60	$557.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.00 / $1,150.00 / $1,150.00	Facility		$660.00	$1,150.00	$1,150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $977.50	Professional		$839.50	$977.50	$977.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $3,508.51	Facility		$100.00	$100.00	$3,508.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $255.50 / $255.50 / $255.50	Professional		$255.50	$255.50	$255.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $1,269.58	Facility		$600.00	$600.00	$1,269.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $203.69 / $600.00 / $2,227.19	Professional		$203.69	$600.00	$2,227.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $12.17 / $16.80	Professional		$10.43	$12.17	$16.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $1,236.00	Facility		$600.00	$600.00	$1,236.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $1,150.00	Professional		$839.50	$977.50	$1,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.72 / $466.20 / $1,500.00	Professional		$279.72	$466.20	$1,500.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,147.50 / $1,147.50 / $1,549.13	Professional		$1,147.50	$1,147.50	$1,549.13