Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.00 / $9,277.00 / $27,672.36	Facility		$1,362.00	$9,277.00	$27,672.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.30 / $673.30 / $6,481.11	Professional		$673.30	$673.30	$6,481.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,512.14 / $18,627.93 / $40,822.94	Facility		$9,512.14	$18,627.93	$40,822.94
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $29,662.44 / $52,259.04	Facility		$2,600.00	$29,662.44	$52,259.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $9,506.69 / $9,506.69 / $9,506.69	Facility		$9,506.69	$9,506.69	$9,506.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,475.00 / $19,085.00 / $36,562.00	Facility		$12,475.00	$19,085.00	$36,562.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $362.25 / $362.25	Professional		$362.25	$362.25	$362.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $673.30 / $962.82 / $23,200.00	Facility		$673.30	$962.82	$23,200.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21,815.00 / $21,815.00 / $22,596.00	Professional		$21,815.00	$21,815.00	$22,596.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $673.30 / $1,911.09 / $36,462.00	Facility		$673.30	$1,911.09	$36,462.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $362.25 / $362.25	Professional		$362.25	$362.25	$362.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,680.00 / $12,000.00 / $39,576.00	Facility		$4,680.00	$12,000.00	$39,576.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,710.20 / $1,710.20 / $2,308.77	Professional		$1,710.20	$1,710.20	$2,308.77