Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.50 / $1,119.50 / $1,220.11	Facility		$1,119.50	$1,119.50	$1,220.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.72 / $1,119.50 / $1,257.85	Professional		$861.72	$1,119.50	$1,257.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,456.92 / $5,456.92	Facility		$5,456.92	$5,456.92	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,437.50 / $1,806.67 / $1,806.67	Professional		$1,437.50	$1,806.67	$1,806.67
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $1,005.56 / $1,077.38 / $1,436.51	Professional		$1,005.56	$1,077.38	$1,436.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,436.51 / $1,436.51 / $1,436.51	Facility		$1,436.51	$1,436.51	$1,436.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,396.46 / $1,396.46 / $1,396.46	Facility		$1,396.46	$1,396.46	$1,396.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.14 / $517.14 / $517.14	Professional		$517.14	$517.14	$517.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,528.81 / $5,682.97 / $6,823.42	Facility		$2,528.81	$5,682.97	$6,823.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,994.61 / $8,186.49 / $10,432.73	Professional		$7,994.61	$8,186.49	$10,432.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $347.00 / $1,079.55 / $1,436.51	Facility		$347.00	$1,079.55	$1,436.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $879.14 / $1,291.30 / $1,436.51	Professional		$879.14	$1,291.30	$1,436.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $347.00 / $1,078.47 / $1,436.51	Facility		$347.00	$1,078.47	$1,436.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $517.14 / $517.14 / $1,130.71	Professional		$517.14	$517.14	$1,130.71
United Facility/Professional Professional Modifier Low / Median / High Price $447.91 / $647.73 / $771.11	Professional		$447.91	$647.73	$771.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $801.20 / $1,436.51 / $2,310.00	Professional		$801.20	$1,436.51	$2,310.00