Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,755.60 / $12,755.60 / $13,776.05	Facility		$12,755.60	$12,755.60	$13,776.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,755.60 / $13,776.05 / $25,511.20	Professional		$12,755.60	$13,776.05	$25,511.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17,358.59 / $17,358.59 / $21,850.88	Professional		$17,358.59	$17,358.59	$21,850.88
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 $13,865.34 / $13,865.34 / $17,347.62	Professional		$13,865.34	$13,865.34	$17,347.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $20,394.16 / $21,850.88 / $29,134.51	Professional		$20,394.16	$21,850.88	$29,134.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $25,511.20 / $25,511.20 / $29,134.51	Facility		$25,511.20	$25,511.20	$29,134.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,200.25 / $16,200.25 / $16,200.25	Facility		$16,200.25	$16,200.25	$16,200.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,826.18 / $11,826.18 / $16,200.25	Professional		$11,826.18	$11,826.18	$16,200.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $48,686.70 / $134,932.92 / $134,932.92	Facility		$48,686.70	$134,932.92	$134,932.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $145,801.04 / $145,801.04 / $213,102.83	Professional		$145,801.04	$145,801.04	$213,102.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8,350.18 / $21,413.55 / $29,134.51	Facility		$8,350.18	$21,413.55	$29,134.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8,444.42 / $26,221.06 / $29,134.51	Professional		$8,444.42	$26,221.06	$29,134.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $8,350.18 / $19,466.86 / $29,134.51	Facility		$8,350.18	$19,466.86	$29,134.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $11,826.18 / $11,826.18 / $18,997.30	Professional		$11,826.18	$11,826.18	$18,997.30
United Facility/Professional Facility Modifier Low / Median / High Price $29,383.10 / $29,383.10 / $34,568.35	Facility		$29,383.10	$29,383.10	$34,568.35
United Facility/Professional Professional Modifier Low / Median / High Price $10,778.61 / $15,945.13 / $19,488.06	Professional		$10,778.61	$15,945.13	$19,488.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15,688.19 / $17,411.83 / $29,134.51	Professional		$15,688.19	$17,411.83	$29,134.51