Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $15,488.17	Facility		$1,023.29	$4,265.80	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $1,230.27	Professional		$1,000.00	$1,023.29	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,584.89 / $3,019.95	Facility		$676.08	$1,584.89	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,951.21	Facility		$2,398.83	$2,398.83	$2,951.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $7,244.36	Facility		$1,000.00	$1,148.15	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $1,258.93	Professional		$1,000.00	$1,023.29	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,137.96	Facility		$1,000.00	$1,230.27	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,230.27	Professional		$1,023.29	$1,230.27	$1,230.27