Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.42 / $3,718.00 / $12,480.00	Facility		$906.42	$3,718.00	$12,480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,545.83 / $4,283.20 / $8,384.57	Facility		$2,545.83	$4,283.20	$8,384.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $685.00 / $1,430.22 / $5,069.04	Facility		$685.00	$1,430.22	$5,069.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $548.74 / $2,742.08 / $2,742.08	Facility		$548.74	$2,742.08	$2,742.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.04 / $674.04 / $674.04	Facility		$674.04	$674.04	$674.04
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.11 / $67.11 / $67.11	Facility	AS	$67.11	$67.11	$67.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,334.98 / $11,500.00 / $26,542.00	Facility		$3,334.98	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $135.90 / $849.00 / $849.00	Facility	AS	$135.90	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $566.51 / $723.85 / $1,116.39	Facility		$566.51	$723.85	$1,116.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.51 / $726.13 / $1,131.02	Facility		$566.51	$726.13	$1,131.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $67.11 / $67.11 / $191.22	Facility	AS	$67.11	$67.11	$191.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,313.00 / $10,600.00	Facility		$1,634.00	$4,313.00	$10,600.00