Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,947.00 / $12,483.00	Facility		$1,050.00	$3,947.00	$12,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,085.11 / $1,432.35	Professional		$1,085.10	$1,085.11	$1,432.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.64 / $7,347.24 / $14,839.49	Facility		$4,108.64	$7,347.24	$14,839.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,056.93 / $5,248.28	Facility		$1,300.00	$3,056.93	$5,248.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $9,265.42 / $9,265.42 / $9,265.42	Facility		$9,265.42	$9,265.42	$9,265.42
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 $1,809.12 / $1,809.12 / $3,562.26	Professional		$1,809.12	$1,809.12	$3,562.26
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 $2,501.42 / $3,562.26 / $3,679.82	Professional		$2,501.42	$3,562.26	$3,679.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,085.11 / $1,085.11 / $2,354.71	Facility		$1,085.11	$1,085.11	$2,354.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,478.00 / $5,478.00 / $9,074.00	Professional		$5,478.00	$5,478.00	$9,074.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,085.11 / $1,085.11 / $2,519.76	Facility		$1,085.11	$1,085.11	$2,519.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,809.12 / $1,809.12 / $3,562.26	Professional		$1,809.12	$1,809.12	$3,562.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,958.00 / $13,237.00	Facility		$2,093.00	$5,958.00	$13,237.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $447.39 / $750.00 / $750.00	Professional		$447.39	$750.00	$750.00