Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,124.84 / $5,763.68 / $8,279.04	Professional		$4,124.84	$5,763.68	$8,279.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $421.07 / $7,311.47 / $9,640.87	Professional		$421.07	$7,311.47	$9,640.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $892.02 / $2,997.19 / $3,391.88	Facility		$892.02	$2,997.19	$3,391.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.98 / $596.98 / $596.98	Professional		$596.98	$596.98	$596.98
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $5,502.71 / $6,288.82 / $6,681.87	Professional		$5,502.71	$6,288.82	$6,681.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $9,719.60 / $18,435.20 / $18,435.20	Facility		$9,719.60	$18,435.20	$18,435.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $9,610.50	Facility		$5,900.00	$5,900.00	$9,610.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,015.00 / $5,900.00 / $8,590.32	Professional		$5,015.00	$5,900.00	$8,590.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,308.72 / $53,184.97 / $55,123.99	Facility		$19,308.72	$53,184.97	$55,123.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,343.54 / $7,335.32 / $9,719.60	Facility		$3,343.54	$7,335.32	$9,719.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $968.46 / $1,052.67 / $8,809.48	Professional		$968.46	$1,052.67	$8,809.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,343.54 / $6,107.78 / $9,719.60	Facility		$3,343.54	$6,107.78	$9,719.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $763.91 / $5,900.00 / $6,077.00	Professional		$763.91	$5,900.00	$6,077.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,064.00 / $5,113.74 / $7,430.08	Professional		$4,064.00	$5,113.74	$7,430.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6,717.50 / $7,749.48 / $7,749.48	Professional		$6,717.50	$7,749.48	$7,749.48