Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.17 / $3,682.00 / $12,826.00	Facility		$997.17	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,115.60 / $18,089.08 / $42,516.26	Facility		$10,115.60	$18,089.08	$42,516.26
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $12,374.28 / $16,174.35	Facility		$1,100.00	$12,374.28	$16,174.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,061.89 / $11,427.88 / $11,427.88	Facility		$1,061.89	$11,427.88	$11,427.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,357.64 / $1,357.64 / $1,357.64	Facility		$1,357.64	$1,357.64	$1,357.64
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $134.59 / $134.59 / $134.59	Facility	AS	$134.59	$134.59	$134.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $54,757.10	Facility		$55.00	$55.00	$54,757.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $270.89 / $5,190.20 / $5,190.20	Facility	AS	$270.89	$5,190.20	$5,190.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,164.54 / $1,523.11 / $2,360.41	Facility		$1,164.54	$1,523.11	$2,360.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,167.48 / $1,524.64 / $2,430.19	Facility		$1,167.48	$1,524.64	$2,430.19
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $134.59 / $134.59 / $388.23	Facility	AS	$134.59	$134.59	$388.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,604.00 / $11,049.00 / $30,269.00	Facility		$4,604.00	$11,049.00	$30,269.00