Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.08 / $915.08 / $6,254.19	Facility		$915.08	$915.08	$6,254.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.08 / $988.29 / $1,830.16	Professional		$915.08	$988.29	$1,830.16
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 $994.69 / $994.69 / $1,244.51	Professional		$994.69	$994.69	$1,244.51
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,291.78 / $1,672.07 / $2,583.56	Professional		$1,291.78	$1,672.07	$2,583.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,090.09 / $2,090.09 / $2,090.09	Facility		$2,090.09	$2,090.09	$2,090.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $1,650.90	Facility		$1,650.90	$1,650.90	$1,650.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,403.27 / $1,650.90	Professional		$1,403.27	$1,403.27	$1,650.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,492.72 / $9,683.48 / $9,683.48	Facility		$3,492.72	$9,683.48	$9,683.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,487.98 / $10,487.98 / $15,218.63	Professional		$10,487.98	$10,487.98	$15,218.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $926.42 / $2,029.15 / $2,432.05	Facility		$926.42	$2,029.15	$2,432.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $926.42 / $1,922.88 / $2,090.09	Professional		$926.42	$1,922.88	$2,090.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $817.30 / $817.30 / $817.30	Professional		$817.30	$817.30	$817.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $926.42 / $1,672.07 / $2,432.05	Facility		$926.42	$1,672.07	$2,432.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,403.27 / $1,687.20	Professional		$1,403.27	$1,403.27	$1,687.20
United Facility/Professional Facility Modifier Low / Median / High Price $772.32 / $1,224.69 / $2,211.31	Facility		$772.32	$1,224.69	$2,211.31
United Facility/Professional Professional Modifier Low / Median / High Price $772.32 / $1,365.56 / $2,161.65	Professional		$772.32	$1,365.56	$2,161.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,090.09 / $2,291.86 / $2,546.78	Professional		$2,090.09	$2,291.86	$2,546.78