Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,930.89 / $1,930.89 / $2,085.36	Facility		$1,930.89	$1,930.89	$2,085.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,930.89 / $2,085.36 / $3,861.78	Professional		$1,930.89	$2,085.36	$3,861.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,627.68 / $2,627.68 / $3,307.70	Professional		$2,627.68	$2,627.68	$3,307.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,098.88 / $2,626.01 / $2,626.01	Professional		$2,098.88	$2,626.01	$2,626.01
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $3,087.18 / $3,307.70 / $4,410.26	Professional		$3,087.18	$3,307.70	$4,410.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,674.39 / $3,674.39 / $4,410.26	Facility		$3,674.39	$3,674.39	$4,410.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $2,448.80 / $2,448.80	Facility		$2,448.80	$2,448.80	$2,448.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $1,787.62 / $2,448.80	Professional		$1,787.62	$1,787.62	$2,448.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,369.96 / $20,504.11 / $20,504.11	Facility		$7,369.96	$20,504.11	$20,504.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,086.40 / $22,086.40 / $32,113.28	Professional		$22,086.40	$22,086.40	$32,113.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,262.19 / $3,073.52 / $4,410.26	Facility		$1,262.19	$3,073.52	$4,410.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.44 / $3,748.72 / $4,410.26	Professional		$1,276.44	$3,748.72	$4,410.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,262.19 / $2,946.81 / $4,410.26	Facility		$1,262.19	$2,946.81	$4,410.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $1,787.62 / $2,871.59	Professional		$1,787.62	$1,787.62	$2,871.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,629.27 / $2,410.21 / $2,946.81	Professional		$1,629.27	$2,410.21	$2,946.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,371.39 / $2,635.75 / $4,410.26	Professional		$2,371.39	$2,635.75	$4,410.26