Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,807.98 / $1,807.98 / $1,952.61	Facility		$1,807.98	$1,807.98	$1,952.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,807.98 / $1,952.61 / $3,615.95	Professional		$1,807.98	$1,952.61	$3,615.95
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 $1,965.27 / $1,965.27 / $2,458.85	Professional		$1,965.27	$1,965.27	$2,458.85
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,890.66 / $3,097.14 / $4,129.52	Professional		$2,890.66	$3,097.14	$4,129.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,003.38 / $3,003.38 / $4,129.52	Facility		$3,003.38	$3,003.38	$4,129.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $2,550.04	Facility		$2,550.04	$2,550.04	$2,550.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $1,861.53 / $2,550.04	Professional		$1,861.53	$1,861.53	$2,550.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21,140.73 / $25,846.18 / $25,846.18	Facility		$21,140.73	$25,846.18	$25,846.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,362.41 / $26,362.41 / $31,152.60	Professional		$26,362.41	$26,362.41	$31,152.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,314.38 / $2,955.57 / $4,129.52	Facility		$1,314.38	$2,955.57	$4,129.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,329.21 / $3,720.36 / $5,325.74	Professional		$1,329.21	$3,720.36	$5,325.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,314.38 / $2,759.22 / $4,129.52	Facility		$1,314.38	$2,759.22	$4,129.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $1,861.53 / $2,990.32	Professional		$1,861.53	$1,861.53	$2,990.32
United Facility/Professional Facility Modifier Low / Median / High Price $4,625.10 / $4,625.10 / $5,441.30	Facility		$4,625.10	$4,625.10	$5,441.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,696.63 / $2,509.88 / $3,115.56	Professional		$1,696.63	$2,509.88	$3,115.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,469.21 / $2,469.42 / $4,129.52	Professional		$2,469.21	$2,469.42	$4,129.52