Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,834.00 / $11,210.00	Facility		$983.00	$3,834.00	$11,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.14 / $816.15 / $1,274.10	Professional		$713.14	$816.15	$1,274.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $702.70 / $702.70 / $702.70	Professional		$702.70	$702.70	$702.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,235.27 / $12,703.80 / $25,155.20	Facility		$7,235.27	$12,703.80	$25,155.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.57 / $890.48 / $1,295.93	Professional		$664.57	$890.48	$1,295.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $753.34 / $5,076.00 / $13,087.53	Facility		$753.34	$5,076.00	$13,087.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $706.91 / $706.91 / $706.91	Facility		$706.91	$706.91	$706.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,027.91 / $7,027.91 / $7,027.91	Facility		$7,027.91	$7,027.91	$7,027.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.60 / $1,102.77 / $1,702.26	Professional		$821.60	$1,102.77	$1,702.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,897.00 / $27,770.10	Facility		$55.00	$5,897.00	$27,770.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,855.60 / $6,029.68 / $6,857.40	Professional		$5,855.60	$6,029.68	$6,857.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $736.92 / $926.39 / $1,758.03	Facility		$736.92	$926.39	$1,758.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.98 / $1,211.03 / $1,424.74	Professional		$1,028.98	$1,211.03	$1,424.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.92 / $937.66 / $2,094.62	Facility		$736.92	$937.66	$2,094.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $821.60 / $1,136.88 / $1,777.40	Professional		$821.60	$1,136.88	$1,777.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,333.00 / $16,000.00	Facility		$2,605.00	$7,333.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.95 / $897.33 / $1,452.82	Professional		$640.95	$897.33	$1,452.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $675.54 / $772.19 / $1,065.09	Professional		$675.54	$772.19	$1,065.09