Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,941.00	Facility		$921.00	$3,682.00	$12,941.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,024.84 / $8,972.92 / $18,389.06	Facility		$5,024.84	$8,972.92	$18,389.06
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $831.60 / $7,409.62 / $13,027.27	Facility		$831.60	$7,409.62	$13,027.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $596.03 / $3,372.27 / $3,372.27	Facility		$596.03	$3,372.27	$3,372.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.07 / $739.07 / $739.07	Facility		$739.07	$739.07	$739.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.78 / $73.78 / $73.78	Facility	AS	$73.78	$73.78	$73.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,652.62 / $26,267.10 / $26,542.00	Facility		$3,652.62	$26,267.10	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $148.90 / $2,489.75 / $2,489.75	Facility	AS	$148.90	$2,489.75	$2,489.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.00 / $826.05 / $1,327.57	Facility		$634.00	$826.05	$1,327.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $636.69 / $826.05 / $1,358.42	Facility		$636.69	$826.05	$1,358.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $73.78 / $73.78 / $212.96	Facility	AS	$73.78	$73.78	$212.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00