Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,366.28 / $4,366.28 / $4,715.58	Facility		$4,366.28	$4,366.28	$4,715.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,366.28 / $4,715.58 / $8,732.54	Professional		$4,366.28	$4,715.58	$8,732.54
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 $4,746.14 / $4,746.14 / $5,938.13	Professional		$4,746.14	$4,746.14	$5,938.13
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $6,163.70 / $7,978.26 / $9,972.82	Professional		$6,163.70	$7,978.26	$9,972.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $9,972.82 / $9,972.82 / $9,972.82	Facility		$9,972.82	$9,972.82	$9,972.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,957.05 / $7,957.05 / $7,957.05	Facility		$7,957.05	$7,957.05	$7,957.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,763.49 / $6,763.49 / $7,957.05	Professional		$6,763.49	$6,763.49	$7,957.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43,045.38 / $48,277.81 / $48,277.81	Facility		$43,045.38	$48,277.81	$48,277.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $49,817.58 / $49,817.58 / $74,053.58	Professional		$49,817.58	$49,817.58	$74,053.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,883.76 / $6,950.10 / $9,972.82	Facility		$2,883.76	$6,950.10	$9,972.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,883.76 / $9,174.99 / $9,972.82	Professional		$2,883.76	$9,174.99	$9,972.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,883.76 / $6,996.75 / $9,972.82	Facility		$2,883.76	$6,996.75	$9,972.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,763.49 / $6,763.49 / $7,957.05	Professional		$6,763.49	$6,763.49	$7,957.05
United Facility/Professional Facility Modifier Low / Median / High Price $10,147.53 / $10,147.53 / $11,938.27	Facility		$10,147.53	$10,147.53	$11,938.27
United Facility/Professional Professional Modifier Low / Median / High Price $3,722.42 / $5,506.69 / $6,835.57	Professional		$3,722.42	$5,506.69	$6,835.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7,134.07 / $7,950.24 / $9,972.82	Professional		$7,134.07	$7,950.24	$9,972.82