Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.86 / $1,573.86 / $1,699.76	Facility		$1,573.86	$1,573.86	$1,699.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,573.86 / $1,699.76 / $3,147.71	Professional		$1,573.86	$1,699.76	$3,147.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,141.80 / $2,552.29 / $2,696.08	Professional		$2,141.80	$2,552.29	$2,696.08
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 $1,710.78 / $1,710.78 / $2,140.44	Professional		$1,710.78	$1,710.78	$2,140.44
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,516.34 / $2,696.08 / $3,594.77	Professional		$2,516.34	$2,696.08	$3,594.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,147.71 / $3,147.71 / $3,594.77	Facility		$3,147.71	$3,147.71	$3,594.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $2,160.07	Facility		$2,160.07	$2,160.07	$2,160.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $1,576.85 / $2,160.07	Professional		$1,576.85	$1,576.85	$2,160.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,029.93 / $18,674.96 / $18,674.96	Facility		$18,029.93	$18,674.96	$18,674.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,461.27 / $19,461.27 / $27,934.13	Professional		$19,461.27	$19,461.27	$27,934.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,113.38 / $2,572.85 / $3,594.77	Facility		$1,113.38	$2,572.85	$3,594.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.95 / $3,235.29 / $3,931.57	Professional		$1,125.95	$3,235.29	$3,931.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,113.38 / $2,401.92 / $3,594.77	Facility		$1,113.38	$2,401.92	$3,594.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $1,576.85 / $2,670.40	Professional		$1,576.85	$1,576.85	$2,670.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,437.18 / $2,126.06 / $2,616.65	Professional		$1,437.18	$2,126.06	$2,616.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,091.80 / $2,148.37 / $3,594.77	Professional		$2,091.80	$2,148.37	$3,594.77