Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,677.35 / $11,481.54	Facility		$1,258.93	$4,677.35	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,949.84 / $7,244.36	Professional		$169.82	$1,949.84	$7,244.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,244.36 / $14,454.40	Facility		$4,265.80	$7,244.36	$14,454.40
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,513.56 / $3,981.07	Facility		$512.86	$1,513.56	$3,981.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,511.89	Facility		$891.25	$891.25	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $10,232.93	Facility		$2,818.38	$10,232.93	$10,232.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $3,630.78	Professional		$2,754.23	$3,630.78	$3,630.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,265.80 / $10,471.29	Facility		$1,096.48	$4,265.80	$10,471.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,949.84 / $7,244.36	Professional		$169.82	$1,949.84	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $891.25 / $4,168.69	Facility		$398.11	$891.25	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $1,513.56	Professional		$60.26	$79.43	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,489.63	Facility		$2,187.76	$6,606.93	$13,489.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14