Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.50 / $3,166.00 / $10,441.75	Facility		$791.50	$3,166.00	$10,441.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,969.26 / $9,032.74 / $17,945.84	Facility		$4,969.26	$9,032.74	$17,945.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $415.80 / $3,187.28 / $5,076.00	Facility		$415.80	$3,187.28	$5,076.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $678.10 / $6,970.24 / $6,970.24	Facility		$678.10	$6,970.24	$6,970.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.76 / $847.76 / $847.76	Facility		$847.76	$847.76	$847.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.37 / $84.37 / $84.37	Facility	AS	$84.37	$84.37	$84.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,198.08 / $26,110.75 / $26,542.00	Facility		$4,198.08	$26,110.75	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $170.56 / $2,474.92 / $2,474.92	Facility	AS	$170.56	$2,474.92	$2,474.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $721.80 / $940.49 / $1,458.53	Facility		$721.80	$940.49	$1,458.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,492.32 / $5,841.77 / $11,362.50	Facility		$4,492.32	$5,841.77	$11,362.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.96 / $953.80 / $1,511.51	Facility		$724.96	$953.80	$1,511.51
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $284.70 / $284.70 / $284.70	Facility	80	$284.70	$284.70	$284.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.37 / $84.37 / $242.01	Facility	AS	$84.37	$84.37	$242.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00