Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,777.30 / $2,409.00 / $3,107.26	Professional		$1,777.30	$2,409.00	$3,107.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,690.10 / $1,690.10 / $2,777.00	Professional		$1,690.10	$1,690.10	$2,777.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.00 / $1,060.16 / $1,484.54	Facility		$398.00	$1,060.16	$1,484.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.30 / $302.56 / $302.56	Professional		$272.30	$302.56	$302.56
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $497.50 / $497.50 / $497.50	Professional		$497.50	$497.50	$497.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,214.83 / $2,214.83 / $2,246.33	Facility		$2,214.83	$2,214.83	$2,246.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,618.46	Facility		$2,592.00	$2,592.00	$2,618.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,203.19 / $2,592.00 / $3,110.40	Professional		$2,203.19	$2,592.00	$3,110.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $3,307.70	Facility		$80.00	$100.00	$3,307.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.95 / $2,249.19 / $3,107.26	Facility		$336.95	$2,249.19	$3,107.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.99 / $2,847.90 / $4,485.70	Professional		$309.99	$2,847.90	$4,485.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.95 / $2,249.19 / $3,107.26	Facility		$336.95	$2,249.19	$3,107.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $2,592.00 / $3,055.80	Professional		$267.95	$2,592.00	$3,055.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.77 / $1,551.60 / $2,748.06	Professional		$1,064.77	$1,551.60	$2,748.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,077.48 / $2,077.48 / $3,795.03	Professional		$2,077.48	$2,077.48	$3,795.03