Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,946.68 / $1,946.68 / $2,102.41	Facility		$1,946.68	$1,946.68	$2,102.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,946.68 / $2,102.41 / $3,893.36	Professional		$1,946.68	$2,102.41	$3,893.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,116.04 / $2,647.48 / $2,647.48	Professional		$2,116.04	$2,647.48	$2,647.48
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $2,748.05 / $3,334.74 / $4,446.32	Professional		$2,748.05	$3,334.74	$4,446.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,446.32 / $4,446.32 / $4,446.32	Facility		$4,446.32	$4,446.32	$4,446.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,060.59 / $3,060.59 / $3,060.59	Facility		$3,060.59	$3,060.59	$3,060.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $2,234.23 / $2,500.00	Professional		$2,234.23	$2,234.23	$2,500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,430.22 / $20,671.75 / $20,671.75	Facility		$7,430.22	$20,671.75	$20,671.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,266.87 / $22,266.87 / $32,375.78	Professional		$22,266.87	$22,266.87	$32,375.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,272.51 / $3,098.65 / $4,446.32	Facility		$1,272.51	$3,098.65	$4,446.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,286.86 / $4,001.69 / $4,446.32	Professional		$1,286.86	$4,001.69	$4,446.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,272.51 / $3,060.59 / $4,446.32	Facility		$1,272.51	$3,060.59	$4,446.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $2,234.23 / $3,589.33	Professional		$2,234.23	$2,234.23	$3,589.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,642.59 / $2,429.92 / $2,969.85	Professional		$1,642.59	$2,429.92	$2,969.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,610.27 / $2,699.26 / $4,446.32	Professional		$2,610.27	$2,699.26	$4,446.32