Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,862.09	Facility		$1,174.90	$1,258.93	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $1,862.09	Professional		$1,122.02	$1,445.44	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $158.49	Professional		$138.04	$138.04	$158.49
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,089.30	Facility		$1,995.26	$1,995.26	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,778.28	Facility		$1,445.44	$1,445.44	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $1,513.56 / $1,778.28	Professional		$177.83	$1,513.56	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $11,220.18 / $11,220.18	Facility		$3,890.45	$11,220.18	$11,220.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,174.90 / $2,398.83	Facility		$208.93	$1,174.90	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $1,862.09	Professional		$1,122.02	$1,621.81	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $2,754.23	Professional		$173.78	$275.42	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,174.90 / $2,398.83	Facility		$208.93	$1,174.90	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,548.82 / $1,548.82	Professional		$288.40	$1,548.82	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $851.14 / $1,513.56	Facility		$117.49	$851.14	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,344.23	Professional		$933.25	$1,230.27	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11