Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $3,792.00 / $13,004.00	Facility		$1,051.00	$3,792.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,163.54 / $18,446.09 / $36,654.19	Facility		$9,163.54	$18,446.09	$36,654.19
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,201.19 / $7,181.05 / $9,504.83	Facility		$1,201.19	$7,181.05	$9,504.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,180.42 / $15,484.18 / $15,484.18	Facility		$1,180.42	$15,484.18	$15,484.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,438.48 / $1,438.48 / $1,438.48	Facility		$1,438.48	$1,438.48	$1,438.48
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $142.94 / $142.94 / $142.94	Facility	AS	$142.94	$142.94	$142.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $42,000.00 / $50,913.65	Facility		$5,897.00	$42,000.00	$50,913.65
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $276.56 / $4,825.89 / $4,825.89	Facility	AS	$276.56	$4,825.89	$4,825.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,229.00 / $1,631.68 / $2,661.35	Facility		$1,229.00	$1,631.68	$2,661.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.59 / $1,646.86 / $2,716.83	Facility		$1,230.59	$1,646.86	$2,716.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $480.26 / $480.26 / $480.26	Facility	80	$480.26	$480.26	$480.26
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $142.94 / $142.94 / $408.22	Facility	AS	$142.94	$142.94	$408.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $28,862.00	Facility		$2,600.00	$7,123.00	$28,862.00