Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $4,185.00 / $13,004.00	Facility		$969.00	$4,185.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.50 / $2,679.00 / $6,427.80	Professional		$880.50	$2,679.00	$6,427.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.64 / $7,250.57 / $14,543.00	Facility		$4,108.64	$7,250.57	$14,543.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,061.44 / $5,172.13 / $15,056.19	Facility		$2,061.44	$5,172.13	$15,056.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,290.00 / $1,290.00 / $1,290.00	Facility		$1,290.00	$1,290.00	$1,290.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $4,619.00	Facility		$900.00	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.08 / $5,178.20 / $17,232.93	Professional		$112.08	$5,178.20	$17,232.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $10,160.00	Facility		$55.00	$10,160.00	$10,160.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,500.00 / $17,232.93 / $17,801.62	Professional		$8,500.00	$17,232.93	$17,801.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,117.50 / $3,332.50 / $4,268.18	Facility		$3,117.50	$3,332.50	$4,268.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,293.97 / $5,293.97 / $9,074.00	Professional		$5,293.97	$5,293.97	$9,074.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,472.50 / $3,332.50 / $4,268.18	Facility		$2,472.50	$3,332.50	$4,268.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.08 / $112.08 / $17,232.93	Professional		$112.08	$112.08	$17,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $13,237.00	Facility		$2,093.00	$5,870.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $757.54 / $757.54 / $757.54	Professional		$757.54	$757.54	$757.54