Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.82 / $942.14 / $2,163.19	Facility		$888.82	$942.14	$2,163.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.26 / $942.14 / $1,588.29	Professional		$853.26	$942.14	$1,588.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,441.37 / $1,441.37 / $1,441.37	Professional		$1,441.37	$1,441.37	$1,441.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $966.14 / $966.14 / $1,208.79	Professional		$966.14	$966.14	$1,208.79
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,522.58 / $1,522.58 / $2,030.10	Facility		$1,522.58	$1,522.58	$2,030.10
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,421.07 / $1,522.58 / $2,030.10	Professional		$1,421.07	$1,522.58	$2,030.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,030.10 / $2,030.10 / $2,030.10	Facility		$2,030.10	$2,030.10	$2,030.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $1,184.20 / $1,184.20	Facility		$1,184.20	$1,184.20	$1,184.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $864.47 / $1,184.20	Professional		$864.47	$864.47	$1,184.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,376.92 / $9,758.87 / $11,179.36	Facility		$4,376.92	$9,758.87	$11,179.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,813.65 / $14,145.17 / $14,145.17	Professional		$13,813.65	$14,145.17	$14,145.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $568.52 / $1,411.81 / $2,030.10	Facility		$568.52	$1,411.81	$2,030.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $568.52 / $1,867.69 / $2,353.55	Professional		$568.52	$1,867.69	$2,353.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $568.52 / $1,356.46 / $2,030.10	Facility		$568.52	$1,356.46	$2,030.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $864.47 / $1,588.91	Professional		$864.47	$864.47	$1,588.91
United Facility/Professional Professional Modifier Low / Median / High Price $733.85 / $1,061.23 / $1,263.36	Professional		$733.85	$1,061.23	$1,263.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,057.58 / $1,138.79 / $2,030.10	Professional		$1,057.58	$1,138.79	$2,030.10