Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.39 / $952.39 / $1,028.58	Facility		$952.39	$952.39	$1,028.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.58 / $1,028.58 / $1,904.78	Professional		$951.58	$1,028.58	$1,904.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,296.07 / $1,631.48 / $1,631.48	Professional		$1,296.07	$1,631.48	$1,631.48
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 $1,035.25 / $1,035.25 / $1,295.25	Professional		$1,035.25	$1,035.25	$1,295.25
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,522.72 / $1,631.48 / $2,175.31	Professional		$1,522.72	$1,631.48	$2,175.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,904.78 / $1,904.78 / $2,175.31	Facility		$1,904.78	$1,904.78	$2,175.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $1,207.83	Facility		$1,207.83	$1,207.83	$1,207.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $881.72 / $1,207.83	Professional		$881.72	$881.72	$1,207.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,054.32 / $10,094.70 / $10,094.70	Facility		$4,054.32	$10,094.70	$10,094.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,655.70 / $12,121.92 / $15,839.33	Professional		$11,655.70	$12,121.92	$15,839.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $622.55 / $1,515.97 / $2,175.31	Facility		$622.55	$1,515.97	$2,175.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $629.58 / $1,957.78 / $2,175.31	Professional		$629.58	$1,957.78	$2,175.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.55 / $1,453.47 / $2,175.31	Facility		$622.55	$1,453.47	$2,175.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $881.72 / $1,287.59	Professional		$881.72	$881.72	$1,287.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $803.61 / $1,188.80 / $1,453.47	Professional		$803.61	$1,188.80	$1,453.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,169.66 / $1,300.05 / $2,175.31	Professional		$1,169.66	$1,300.05	$2,175.31