Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.25 / $1,449.25 / $1,565.18	Facility		$1,449.25	$1,449.25	$1,565.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.33 / $1,565.18 / $2,898.49	Professional		$1,375.33	$1,565.18	$2,898.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,840.68 / $2,350.21 / $2,482.62	Professional		$1,840.68	$2,350.21	$2,482.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,575.33 / $1,575.33 / $1,970.97	Professional		$1,575.33	$1,575.33	$1,970.97
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,317.11 / $2,482.62 / $3,310.16	Professional		$2,317.11	$2,482.62	$3,310.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,028.94 / $2,028.94 / $3,310.16	Facility		$2,028.94	$2,028.94	$3,310.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $1,721.98 / $1,721.98	Facility		$1,721.98	$1,721.98	$1,721.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,257.05 / $1,721.98	Professional		$1,257.05	$1,257.05	$1,721.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,565.67 / $14,785.52 / $17,378.68	Facility		$6,565.67	$14,785.52	$17,378.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,561.62 / $17,575.11 / $20,668.43	Professional		$17,561.62	$17,575.11	$20,668.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $887.57 / $2,306.87 / $3,310.16	Facility		$887.57	$2,306.87	$3,310.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $897.58 / $2,979.14 / $3,362.56	Professional		$897.58	$2,979.14	$3,362.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $887.57 / $2,211.76 / $3,310.16	Facility		$887.57	$2,211.76	$3,310.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,257.05 / $2,019.28	Professional		$1,257.05	$1,257.05	$2,019.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,123.22 / $3,123.22 / $3,674.38	Facility		$3,123.22	$3,123.22	$3,674.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.70 / $1,694.86 / $2,118.58	Professional		$1,145.70	$1,694.86	$2,118.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,667.55 / $1,972.92 / $3,310.16	Professional		$1,667.55	$1,972.92	$3,310.16