Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,914.35 / $2,674.98 / $3,992.50	Professional		$1,914.35	$2,674.98	$3,992.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,594.35 / $1,594.35 / $1,594.35	Professional		$1,594.35	$1,594.35	$1,594.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $413.85 / $1,390.54 / $1,572.68	Facility		$413.85	$1,390.54	$1,572.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.25 / $276.95 / $276.95	Professional		$249.25	$276.95	$276.95
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $698.89 / $698.89 / $698.89	Professional		$698.89	$698.89	$698.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,512.60 / $4,512.60 / $4,512.60	Facility		$4,512.60	$4,512.60	$4,512.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $4,460.29	Facility		$2,200.00	$2,200.00	$4,460.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $2,200.00 / $4,104.00	Professional		$1,870.00	$2,200.00	$4,104.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,964.84 / $24,693.27 / $25,593.57	Facility		$8,964.84	$24,693.27	$25,593.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,550.35 / $3,401.29 / $4,512.60	Facility		$1,550.35	$3,401.29	$4,512.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.03 / $488.08 / $4,084.85	Professional		$449.03	$488.08	$4,084.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,550.35 / $2,834.68 / $4,512.60	Facility		$1,550.35	$2,834.68	$4,512.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.66 / $2,200.00 / $2,266.00	Professional		$354.66	$2,200.00	$2,266.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,886.15 / $2,372.46 / $3,445.23	Professional		$1,886.15	$2,372.46	$3,445.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,769.28 / $3,593.34 / $3,593.34	Professional		$2,769.28	$3,593.34	$3,593.34