Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $47,863.01 / $57,543.99	Facility		$851.14	$47,863.01	$57,543.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,778.28	Professional		$776.25	$1,047.13	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,388.44 / $7,079.46	Facility		$1,348.96	$3,388.44	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $13,489.63 / $14,791.08	Facility		$3,235.94	$13,489.63	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $33,884.42 / $50,118.72	Facility		$3,467.37	$33,884.42	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,659.59	Professional		$977.24	$1,202.26	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Professional		$17,378.01	$17,378.01	$17,378.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,548.82 / $57,543.99	Facility		$912.01	$1,548.82	$57,543.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,548.82	Professional		$776.25	$954.99	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $691.83	Professional		$489.78	$602.56	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,659.59 / $45,708.82	Facility		$977.24	$1,659.59	$45,708.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,698.24	Professional		$1,023.29	$1,202.26	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $11,481.54 / $15,135.61	Facility		$6,165.95	$11,481.54	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $3,090.30	Professional		$1,288.25	$1,621.81	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $616.60	Professional		$562.34	$562.34	$616.60