Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,113.23 / $3,671.12 / $4,735.51	Facility		$2,113.23	$3,671.12	$4,735.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,137.48 / $2,957.60	Professional		$2,116.32	$2,137.48	$2,957.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,619.00 / $4,097.68 / $8,095.00	Facility		$1,619.00	$4,097.68	$8,095.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,014.04 / $2,014.04 / $2,014.04	Professional		$2,014.04	$2,014.04	$2,014.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,552.92 / $2,116.32 / $3,809.38	Facility		$1,552.92	$2,116.32	$3,809.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,137.46 / $2,137.46 / $2,137.46	Facility		$2,137.46	$2,137.46	$2,137.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,996.53 / $2,116.32 / $2,116.32	Facility		$1,996.53	$2,116.32	$2,116.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,815.11 / $10,581.60 / $10,581.60	Facility		$2,815.11	$10,581.60	$10,581.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $998.68 / $2,137.48 / $3,438.05	Facility		$998.68	$2,137.48	$3,438.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.93 / $2,116.32 / $3,836.25	Professional		$1,584.93	$2,116.32	$3,836.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,060.19 / $2,116.32 / $3,026.34	Facility		$1,060.19	$2,116.32	$3,026.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,000.03 / $2,116.32 / $3,742.92	Professional		$2,000.03	$2,116.32	$3,742.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,536.03 / $3,429.87 / $3,429.87	Facility		$2,536.03	$3,429.87	$3,429.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,067.91 / $2,067.91 / $2,857.03	Professional		$2,067.91	$2,067.91	$2,857.03