Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.79 / $1,276.79 / $1,378.93	Facility		$1,276.79	$1,276.79	$1,378.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,196.29 / $1,378.93 / $2,553.57	Professional		$1,196.29	$1,378.93	$2,553.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,737.53 / $2,187.19 / $2,187.19	Professional		$1,737.53	$2,187.19	$2,187.19
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 $1,387.87 / $1,387.87 / $1,736.43	Professional		$1,387.87	$1,387.87	$1,736.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,041.38 / $2,187.19 / $2,916.25	Professional		$2,041.38	$2,187.19	$2,916.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,610.26 / $1,610.26 / $2,916.25	Facility		$1,610.26	$1,610.26	$2,916.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,314.00 / $1,800.00	Professional		$1,314.00	$1,314.00	$1,800.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,971.05 / $11,959.60 / $11,959.60	Facility		$4,971.05	$11,959.60	$11,959.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,435.44 / $14,435.44 / $17,138.93	Professional		$14,435.44	$14,435.44	$17,138.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $2,032.34 / $2,916.25	Facility		$736.00	$2,032.34	$2,916.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $744.31 / $2,466.12 / $2,916.25	Professional		$744.31	$2,466.12	$2,916.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $1,948.55 / $2,916.25	Facility		$736.00	$1,948.55	$2,916.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,314.00 / $2,008.48	Professional		$1,314.00	$1,314.00	$2,008.48
United Facility/Professional Professional Modifier Low / Median / High Price $950.05 / $1,405.43 / $1,717.71	Professional		$950.05	$1,405.43	$1,717.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,382.85 / $1,711.10 / $2,916.25	Professional		$1,382.85	$1,711.10	$2,916.25