Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.39 / $1,708.77 / $43,750.00	Facility		$1,170.39	$1,708.77	$43,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.39 / $1,199.65 / $1,621.81	Professional		$1,170.39	$1,199.65	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.50 / $2,638.57 / $5,264.63	Facility		$1,042.50	$2,638.57	$5,264.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,231.45 / $1,231.45 / $1,231.45	Professional		$1,231.45	$1,231.45	$1,231.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4,888.47 / $4,888.47 / $4,888.47	Facility		$4,888.47	$4,888.47	$4,888.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Facility		$1,243.54	$1,243.54	$1,243.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,349.36 / $6,273.23 / $6,401.25	Facility		$1,349.36	$6,273.23	$6,401.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,199.65 / $1,462.99 / $1,715.50	Facility		$1,199.65	$1,462.99	$1,715.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,097.24 / $1,097.24 / $1,097.24	Professional		$1,097.24	$1,097.24	$1,097.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,170.39 / $1,243.54 / $1,715.50	Facility		$1,170.39	$1,243.54	$1,715.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,219.16	Professional		$1,219.16	$1,219.16	$1,219.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,183.65 / $1,183.65 / $1,597.93	Professional		$1,183.65	$1,183.65	$1,597.93