Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.49 / $1,061.49 / $1,146.40	Facility		$1,061.49	$1,061.49	$1,146.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.49 / $1,146.40 / $2,122.96	Professional		$1,061.49	$1,146.40	$2,122.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,721.39 / $1,721.39 / $1,818.37	Professional		$1,721.39	$1,721.39	$1,818.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,153.83 / $1,443.62 / $1,443.62	Professional		$1,153.83	$1,443.62	$1,443.62
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,697.14 / $1,818.37 / $2,424.48	Professional		$1,697.14	$1,818.37	$2,424.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,424.48 / $2,424.48 / $2,424.48	Facility		$2,424.48	$2,424.48	$2,424.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $1,346.19	Facility		$1,346.19	$1,346.19	$1,346.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $982.72 / $1,346.19	Professional		$982.72	$982.72	$1,346.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,051.56 / $11,271.87 / $11,271.87	Facility		$4,051.56	$11,271.87	$11,271.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,141.34 / $12,141.34 / $17,653.95	Professional		$12,141.34	$12,141.34	$17,653.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $693.87 / $1,689.64 / $2,424.48	Facility		$693.87	$1,689.64	$2,424.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $701.70 / $2,230.53 / $2,424.48	Professional		$701.70	$2,230.53	$2,424.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $693.87 / $1,619.98 / $2,424.48	Facility		$693.87	$1,619.98	$2,424.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $982.72 / $1,435.11	Professional		$982.72	$982.72	$1,435.11
United Facility/Professional Professional Modifier Low / Median / High Price $895.67 / $1,324.99 / $1,656.24	Professional		$895.67	$1,324.99	$1,656.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,303.64 / $1,448.96 / $2,424.48	Professional		$1,303.64	$1,448.96	$2,424.48