Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,127.92 / $1,560.65 / $2,256.94	Professional		$1,127.92	$1,560.65	$2,256.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $931.94 / $2,005.74 / $2,815.77	Professional		$931.94	$2,005.74	$2,815.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.17 / $817.05 / $919.32	Facility		$243.17	$817.05	$919.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $162.68 / $162.68	Professional		$146.41	$162.68	$162.68
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,495.25 / $1,708.86 / $1,815.66	Professional		$1,495.25	$1,708.86	$1,815.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,666.40 / $4,996.60 / $4,996.60	Facility		$2,666.40	$4,996.60	$4,996.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $2,628.00	Facility		$1,350.00	$1,350.00	$2,628.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.50 / $1,350.00 / $1,833.30	Professional		$1,147.50	$1,350.00	$1,833.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,296.91 / $14,590.13 / $15,122.05	Facility		$5,296.91	$14,590.13	$15,122.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $906.22 / $1,988.14 / $2,666.40	Facility		$906.22	$1,988.14	$2,666.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.49 / $285.32 / $2,387.69	Professional		$262.49	$285.32	$2,387.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $906.22 / $1,658.44 / $2,666.40	Facility		$906.22	$1,658.44	$2,666.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.56 / $1,350.00 / $1,390.50	Professional		$209.56	$1,350.00	$1,390.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,111.30 / $1,378.98 / $2,013.82	Professional		$1,111.30	$1,378.98	$2,013.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,820.69 / $2,100.40 / $2,100.40	Professional		$1,820.69	$2,100.40	$2,100.40