Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,126.06 / $2,126.06 / $2,296.14	Facility		$2,126.06	$2,126.06	$2,296.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,124.21 / $2,296.14 / $4,252.10	Professional		$2,124.21	$2,296.14	$4,252.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,893.26 / $3,642.02 / $3,642.02	Professional		$2,893.26	$3,642.02	$3,642.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,311.02 / $2,311.02 / $2,891.43	Professional		$2,311.02	$2,311.02	$2,891.43
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3,399.21 / $3,642.02 / $4,856.02	Professional		$3,399.21	$3,642.02	$4,856.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,856.02 / $4,856.02 / $4,856.02	Facility		$4,856.02	$4,856.02	$4,856.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $2,886.72	Facility		$2,886.72	$2,886.72	$2,886.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,107.31 / $2,886.72	Professional		$2,107.31	$2,107.31	$2,886.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,114.89 / $22,493.11 / $22,493.11	Facility		$8,114.89	$22,493.11	$22,493.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,318.59 / $24,318.59 / $35,358.60	Professional		$24,318.59	$24,318.59	$35,358.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,389.75 / $3,384.17 / $4,856.02	Facility		$1,389.75	$3,384.17	$4,856.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,405.44 / $4,370.42 / $4,856.02	Professional		$1,405.44	$4,370.42	$4,856.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,389.75 / $3,244.65 / $4,856.02	Facility		$1,389.75	$3,244.65	$4,856.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,107.31 / $3,077.39	Professional		$2,107.31	$2,107.31	$3,077.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,890.35 / $4,890.35 / $5,753.36	Facility		$4,890.35	$4,890.35	$5,753.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,793.93 / $2,653.81 / $3,244.65	Professional		$1,793.93	$2,653.81	$3,244.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,611.05 / $2,902.12 / $4,856.02	Professional		$2,611.05	$2,902.12	$4,856.02