Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $4,408.00 / $13,933.00	Facility		$1,272.00	$4,408.00	$13,933.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.18 / $23,919.12 / $57,010.04	Facility		$11,481.18	$23,919.12	$57,010.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,549.81 / $20,261.82 / $34,135.37	Facility		$1,549.81	$20,261.82	$34,135.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,480.68 / $20,850.66 / $20,850.66	Facility		$1,480.68	$20,850.66	$20,850.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,849.74 / $1,849.74 / $1,849.74	Facility		$1,849.74	$1,849.74	$1,849.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.13 / $183.13 / $183.13	Facility	AS	$183.13	$183.13	$183.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $45,000.00 / $79,437.95	Facility		$55.00	$45,000.00	$79,437.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $354.59 / $7,529.59 / $7,529.59	Facility	AS	$354.59	$7,529.59	$7,529.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,510.70 / $1,927.37 / $3,328.55	Facility		$1,510.70	$1,927.37	$3,328.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,511.76 / $1,945.72 / $3,425.79	Facility		$1,511.76	$1,945.72	$3,425.79
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $183.13 / $183.13 / $528.13	Facility	AS	$183.13	$183.13	$528.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,953.00 / $16,646.00	Facility		$2,614.00	$7,953.00	$16,646.00