Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,107.00 / $7,316.00	Facility		$405.00	$2,107.00	$7,316.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.77 / $570.84 / $1,232.57	Facility		$261.77	$570.84	$1,232.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $249.31 / $4,000.00	Facility		$66.75	$249.31	$4,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $49.88 / $49.88 / $91.56	Facility		$49.88	$49.88	$91.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.82 / $120.82 / $120.82	Facility		$120.82	$120.82	$120.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $11.78 / $11.78 / $11.78	Facility	AS	$11.78	$11.78	$11.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $264.43 / $1,300.00	Facility		$55.00	$264.43	$1,300.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $23.89 / $51.03 / $51.03	Facility	AS	$23.89	$51.03	$51.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.89 / $137.01 / $211.03	Facility		$93.89	$137.01	$211.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.89 / $137.04 / $223.94	Facility		$93.89	$137.04	$223.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $11.78 / $11.78 / $11.78	Facility	AS	$11.78	$11.78	$11.78
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00