Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,886.07 / $27,440.00 / $87,177.49	Facility		$9,886.07	$27,440.00	$87,177.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,170.87 / $10,984.53 / $20,341.73	Professional		$10,170.87	$10,984.53	$20,341.73
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
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $17,423.12 / $17,423.12 / $23,230.83	Facility		$17,423.12	$17,423.12	$23,230.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $23,230.83 / $23,230.83 / $23,230.83	Facility		$23,230.83	$23,230.83	$23,230.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,034.23 / $13,034.23 / $13,034.23	Facility		$13,034.23	$13,034.23	$13,034.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,079.10 / $11,079.10 / $13,034.23	Professional		$11,079.10	$11,079.10	$13,034.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100,282.95 / $112,458.86 / $112,458.86	Facility		$100,282.95	$112,458.86	$112,458.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $116,045.60 / $116,045.60 / $172,500.69	Professional		$116,045.60	$116,045.60	$172,500.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,718.30 / $16,189.65 / $23,230.83	Facility		$6,718.30	$16,189.65	$23,230.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,718.30 / $21,372.36 / $23,230.83	Professional		$6,718.30	$21,372.36	$23,230.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,718.30 / $15,522.20 / $23,230.83	Facility		$6,718.30	$15,522.20	$23,230.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $11,079.10 / $11,079.10 / $13,425.26	Professional		$11,079.10	$11,079.10	$13,425.26
United Facility/Professional Professional Modifier Low / Median / High Price $8,672.14 / $12,828.96 / $16,036.20	Professional		$8,672.14	$12,828.96	$16,036.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12,562.19 / $12,622.20 / $23,230.83	Professional		$12,562.19	$12,622.20	$23,230.83