Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,890.45 / $12,589.25	Facility		$1,148.15	$3,890.45	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,890.45 / $3,981.07	Professional		$3,801.89	$3,890.45	$3,981.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $12,882.50 / $24,547.09	Facility		$6,918.31	$12,882.50	$24,547.09
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $9,549.93 / $16,982.44	Facility		$2,238.72	$9,549.93	$16,982.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $44,668.36 / $44,668.36 / $44,668.36	Facility		$44,668.36	$44,668.36	$44,668.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,890.45 / $10,964.78	Facility		$1,023.29	$3,890.45	$10,964.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,890.45 / $4,570.88	Professional		$3,801.89	$3,890.45	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,168.69 / $8,511.38	Facility		$3,890.45	$4,168.69	$8,511.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,128.31 / $17,782.79	Facility		$2,630.27	$8,128.31	$17,782.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88