Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $3,090.30	Facility		$1,949.84	$2,089.30	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,311.31	Professional		$1,737.80	$2,398.83	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $562.34 / $1,318.26	Facility		$208.93	$562.34	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $302.00	Professional		$263.03	$275.42	$302.00
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,258.93	Professional		$575.44	$707.95	$1,258.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $2,570.40	Facility		$346.74	$346.74	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,187.76 / $3,388.44	Facility		$2,137.96	$2,187.76	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,388.44	Professional		$1,479.11	$1,479.11	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $9,772.37 / $9,772.37	Facility		$100.00	$9,772.37	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,949.84 / $3,162.28	Facility		$257.04	$1,949.84	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,090.30	Professional		$2,089.30	$2,630.27	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $416.87 / $2,290.87	Professional		$162.18	$416.87	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,778.28 / $3,090.30	Facility		$257.04	$1,778.28	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,513.56 / $2,344.23	Professional		$724.44	$1,513.56	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $380.19 / $3,467.37	Facility		$138.04	$380.19	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $645.65 / $3,801.89	Professional		$162.18	$645.65	$3,801.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80