Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,511.00 / $12,114.20	Facility		$803.00	$3,511.00	$12,114.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,606.10 / $8,972.92 / $18,364.59	Facility		$4,606.10	$8,972.92	$18,364.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $6,249.30 / $9,390.95	Facility		$625.00	$6,249.30	$9,390.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $237.01 / $2,476.62 / $2,476.62	Facility		$237.01	$2,476.62	$2,476.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.69 / $311.69 / $311.69	Facility		$311.69	$311.69	$311.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $30.65 / $30.65 / $30.65	Facility	AS	$30.65	$30.65	$30.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,772.19 / $19,913.50 / $26,542.00	Facility		$1,772.19	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $78.72 / $1,887.52 / $1,887.52	Facility	AS	$78.72	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $265.06 / $442.63 / $848.54	Facility		$265.06	$442.63	$848.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.22 / $445.19 / $852.86	Facility		$265.22	$445.19	$852.86
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $104.97 / $104.97 / $104.97	Facility	80	$104.97	$104.97	$104.97
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $30.65 / $30.65 / $89.22	Facility	AS	$30.65	$30.65	$89.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00