Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,660.83 / $6,321.43 / $8,129.61	Facility		$3,660.83	$6,321.43	$8,129.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,697.44 / $4,998.34	Professional		$3,660.83	$3,697.44	$4,998.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,668.85 / $6,977.93 / $13,844.65	Facility		$2,668.85	$6,977.93	$13,844.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,692.76 / $3,692.76 / $3,692.76	Professional		$3,692.76	$3,692.76	$3,692.76
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,827.50 / $5,857.33	Professional		$3,660.83	$3,827.50	$5,857.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,453.62 / $3,660.83 / $3,660.83	Facility		$3,453.62	$3,660.83	$3,660.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Professional		$3,660.83	$3,660.83	$3,660.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,742.55 / $17,938.07 / $18,304.15	Facility		$4,742.55	$17,938.07	$18,304.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,638.86 / $5,234.99 / $5,392.04	Facility		$3,638.86	$5,234.99	$5,392.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,729.15 / $3,660.83 / $6,635.88	Professional		$2,729.15	$3,660.83	$6,635.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,453.62 / $3,660.83 / $5,287.34	Facility		$3,453.62	$3,660.83	$5,287.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,459.62 / $3,660.83 / $6,425.59	Professional		$3,459.62	$3,660.83	$6,425.59
United Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Professional		$3,660.83	$3,660.83	$3,660.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,550.05 / $3,550.05 / $4,942.12	Professional		$3,550.05	$3,550.05	$4,942.12