Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.81 / $1,515.45 / $2,040.00	Professional		$1,086.81	$1,515.45	$2,040.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,583.10 / $2,583.10 / $2,583.10	Professional		$2,583.10	$2,583.10	$2,583.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,147.80 / $7,216.61 / $8,323.12	Facility		$2,147.80	$7,216.61	$8,323.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.92 / $162.84 / $162.84	Professional		$122.92	$162.84	$162.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,234.36 / $1,401.18 / $1,701.44	Professional		$1,234.36	$1,401.18	$1,701.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,583.10 / $2,583.10 / $2,583.10	Facility		$2,583.10	$2,583.10	$2,583.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,460.50 / $1,460.50 / $2,520.11	Facility		$1,460.50	$1,460.50	$2,520.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.43 / $1,460.50 / $1,916.91	Professional		$1,241.43	$1,460.50	$1,916.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,036.10 / $12,056.48 / $12,064.38	Facility		$4,036.10	$12,056.48	$12,064.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.15 / $1,719.01 / $2,583.10	Facility		$707.15	$1,719.01	$2,583.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $697.69 / $1,936.00 / $2,583.10	Professional		$697.69	$1,936.00	$2,583.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.15 / $1,571.03 / $2,583.10	Facility		$707.15	$1,571.03	$2,583.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,241.43 / $1,460.50 / $1,916.91	Professional		$1,241.43	$1,460.50	$1,916.91
United Facility/Professional Professional Modifier Low / Median / High Price $906.60 / $1,191.48 / $1,571.45	Professional		$906.60	$1,191.48	$1,571.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,701.44 / $1,901.61 / $1,901.61	Professional		$1,701.44	$1,901.61	$1,901.61