Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,510.63 / $3,353.48 / $4,371.41	Professional		$2,510.63	$3,353.48	$4,371.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.09 / $415.66 / $415.66	Professional		$374.09	$415.66	$415.66
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,458.82 / $2,810.08 / $2,985.71	Professional		$2,458.82	$2,810.08	$2,985.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,249.73 / $3,249.73 / $3,249.73	Facility		$3,249.73	$3,249.73	$3,249.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $2,673.00 / $3,628.77	Facility		$2,673.00	$2,673.00	$3,628.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,272.05 / $2,673.00 / $3,719.50	Professional		$2,272.05	$2,673.00	$3,719.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,376.08 / $5,376.08 / $5,376.08	Facility		$5,376.08	$5,376.08	$5,376.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.46 / $3,014.56 / $4,371.41	Facility		$487.46	$3,014.56	$4,371.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $448.46 / $4,467.74 / $6,012.30	Professional		$448.46	$4,467.74	$6,012.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.46 / $3,014.56 / $4,371.41	Facility		$487.46	$3,014.56	$4,371.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.53 / $2,673.00 / $3,470.68	Professional		$378.53	$2,673.00	$3,470.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,486.04 / $2,131.92 / $3,683.02	Professional		$1,486.04	$2,131.92	$3,683.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,959.91 / $2,959.91 / $5,086.66	Professional		$2,959.91	$2,959.91	$5,086.66