Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,904.86 / $2,671.03 / $3,359.31	Professional		$1,904.86	$2,671.03	$3,359.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,425.98 / $1,425.98 / $4,229.30	Professional		$1,425.98	$1,425.98	$4,229.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.55 / $343.42 / $343.42	Professional		$259.55	$343.42	$343.42
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,071.80 / $1,071.80 / $1,071.80	Professional		$1,071.80	$1,071.80	$1,071.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $317.62 / $317.62 / $2,246.33	Facility		$317.62	$317.62	$2,246.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.69 / $2,290.69 / $3,006.51	Facility		$2,290.69	$2,290.69	$3,006.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,947.10 / $2,290.69 / $3,236.31	Professional		$1,947.10	$2,290.69	$3,236.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,879.47 / $4,879.47 / $4,879.47	Facility		$4,879.47	$4,879.47	$4,879.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.95 / $2,736.08 / $3,641.40	Facility		$336.95	$2,736.08	$3,641.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.99 / $3,111.00 / $5,456.90	Professional		$309.99	$3,111.00	$5,456.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.95 / $2,736.08 / $3,641.40	Facility		$336.95	$2,736.08	$3,641.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $2,290.69 / $3,236.31	Professional		$268.08	$2,290.69	$3,236.31
United Facility/Professional Facility Modifier Low / Median / High Price $204.97 / $402.16 / $2,383.14	Facility		$204.97	$402.16	$2,383.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,154.44 / $1,787.36 / $3,342.82	Professional		$1,154.44	$1,787.36	$3,342.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,079.98 / $2,079.98 / $4,274.70	Professional		$2,079.98	$2,079.98	$4,274.70