Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.00 / $3,024.00 / $8,883.00	Facility		$673.00	$3,024.00	$8,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.85 / $1,440.00 / $3,418.40	Professional		$482.85	$1,440.00	$3,418.40
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 / $6,847.94 / $12,865.82	Facility		$2,061.44	$6,847.94	$12,865.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $6,697.63 / $6,697.63 / $6,697.63	Facility		$6,697.63	$6,697.63	$6,697.63
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 $1,956.52 / $4,004.79 / $5,750.00	Professional		$1,956.52	$4,004.79	$5,750.00
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 $2,815.13 / $4,004.79 / $4,136.95	Professional		$2,815.13	$4,004.79	$4,136.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,093.59 / $1,093.59 / $4,554.39	Facility		$1,093.59	$1,093.59	$4,554.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $983.42 / $1,650.00 / $9,074.00	Professional		$983.42	$1,650.00	$9,074.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $2,530.00	Facility		$900.00	$2,277.00	$2,530.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,956.52 / $4,004.79 / $5,750.00	Professional		$1,956.52	$4,004.79	$5,750.00
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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $252.02 / $750.00 / $750.00	Professional		$252.02	$750.00	$750.00