Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,483.94 / $1,483.94 / $1,602.66	Facility		$1,483.94	$1,483.94	$1,602.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.94 / $1,602.66 / $2,967.88	Professional		$1,483.94	$1,602.66	$2,967.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,019.44 / $2,019.44 / $2,542.06	Professional		$2,019.44	$2,019.44	$2,542.06
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 $1,613.05 / $1,613.05 / $2,018.16	Professional		$1,613.05	$1,613.05	$2,018.16
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,372.59 / $2,542.06 / $3,389.41	Professional		$2,372.59	$2,542.06	$3,389.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,967.88 / $2,967.88 / $3,389.41	Facility		$2,967.88	$2,967.88	$3,389.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $2,117.90 / $2,117.90	Facility		$2,117.90	$2,117.90	$2,117.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $1,546.07 / $1,546.07	Professional		$1,546.07	$1,546.07	$1,546.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,754.05 / $20,855.07 / $20,855.07	Facility		$17,754.05	$20,855.07	$20,855.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,074.59 / $21,074.59 / $31,063.35	Professional		$21,074.59	$21,074.59	$31,063.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,091.64 / $2,377.94 / $3,389.41	Facility		$1,091.64	$2,377.94	$3,389.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.96 / $3,118.26 / $3,389.41	Professional		$1,103.96	$3,118.26	$3,389.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,091.64 / $2,264.69 / $3,389.41	Facility		$1,091.64	$2,264.69	$3,389.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $1,546.07 / $2,823.87	Professional		$1,546.07	$1,546.07	$2,823.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,409.12 / $2,084.54 / $2,547.73	Professional		$1,409.12	$2,084.54	$2,547.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,050.96 / $2,063.67 / $3,389.41	Professional		$2,050.96	$2,063.67	$3,389.41