Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,500.00 / $11,538.18	Facility		$921.00	$3,500.00	$11,538.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,485.14 / $8,913.11 / $17,660.22	Facility		$4,485.14	$8,913.11	$17,660.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $6,249.30 / $12,074.08	Facility		$671.00	$6,249.30	$12,074.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $697.85 / $6,298.85 / $6,298.85	Facility		$697.85	$6,298.85	$6,298.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.98 / $881.98 / $881.98	Facility		$881.98	$881.98	$881.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.65 / $87.65 / $87.65	Facility	AS	$87.65	$87.65	$87.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,368.89 / $19,913.50 / $26,542.00	Facility		$4,368.89	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $177.29 / $1,887.52 / $1,887.52	Facility	AS	$177.29	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.19 / $992.70 / $1,561.58	Facility		$758.19	$992.70	$1,561.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.19 / $993.91 / $1,605.37	Facility		$758.19	$993.91	$1,605.37
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $296.39 / $296.39 / $296.39	Facility	80	$296.39	$296.39	$296.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $87.65 / $87.65 / $251.94	Facility	AS	$87.65	$87.65	$251.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $6,662.00 / $13,237.00	Facility		$2,211.00	$6,662.00	$13,237.00