Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,647.00 / $12,377.00	Facility		$969.00	$3,647.00	$12,377.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,449.50 / $17,851.06 / $34,924.07	Facility		$8,449.50	$17,851.06	$34,924.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $12,374.28 / $21,747.04	Facility		$504.00	$12,374.28	$21,747.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $802.24 / $9,848.85 / $9,848.85	Facility		$802.24	$9,848.85	$9,848.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.10 / $1,005.10 / $1,005.10	Facility		$1,005.10	$1,005.10	$1,005.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.88 / $99.88 / $99.88	Facility	AS	$99.88	$99.88	$99.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,979.64 / $26,542.00 / $51,179.80	Facility		$4,979.64	$26,542.00	$51,179.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $201.83 / $4,851.12 / $4,851.12	Facility	AS	$201.83	$4,851.12	$4,851.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $832.18 / $1,018.01 / $1,657.66	Facility		$832.18	$1,018.01	$1,657.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $834.65 / $1,018.45 / $1,780.43	Facility		$834.65	$1,018.45	$1,780.43
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $337.39 / $337.39 / $337.39	Facility	80	$337.39	$337.39	$337.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $99.88 / $99.88 / $286.77	Facility	AS	$99.88	$99.88	$286.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,358.00 / $16,982.00	Facility		$2,605.00	$7,358.00	$16,982.00