Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,730.32 / $3,017.69 / $12,128.32	Facility		$1,730.32	$3,017.69	$12,128.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.31 / $1,747.63 / $2,386.08	Professional		$1,730.31	$1,747.63	$2,386.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.11 / $1,923.84 / $3,800.55	Facility		$760.11	$1,923.84	$3,800.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,078.80 / $1,078.80 / $1,078.80	Professional		$1,078.80	$1,078.80	$1,078.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $816.34 / $1,342.91 / $3,564.30	Facility		$816.34	$1,342.91	$3,564.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,056.57 / $2,056.57 / $2,056.57	Facility		$2,056.57	$2,056.57	$2,056.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,632.38 / $1,730.32 / $1,730.32	Facility		$1,632.38	$1,730.32	$1,730.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,730.32	Professional		$1,730.32	$1,730.32	$1,730.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,301.66 / $8,651.60 / $8,651.60	Facility		$2,301.66	$8,651.60	$8,651.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $492.70 / $1,737.10 / $2,573.34	Facility		$492.70	$1,737.10	$2,573.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.83 / $1,730.32 / $3,136.19	Professional		$1,302.83	$1,730.32	$3,136.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $598.62 / $1,730.32 / $2,474.36	Facility		$598.62	$1,730.32	$2,474.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,635.05 / $1,730.32 / $3,016.87	Professional		$1,635.05	$1,730.32	$3,016.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,670.30 / $1,670.30 / $1,670.30	Facility		$1,670.30	$1,670.30	$1,670.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,926.21 / $1,926.21	Professional		$1,730.32	$1,926.21	$1,926.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,666.78 / $1,666.78 / $2,335.92	Professional		$1,666.78	$1,666.78	$2,335.92