Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.80 / $3,611.00 / $12,826.00	Facility		$953.80	$3,611.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,537.90 / $24,238.04 / $48,316.62	Facility		$10,537.90	$24,238.04	$48,316.62
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $342.50 / $4,050.00 / $13,897.40	Facility		$342.50	$4,050.00	$13,897.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $929.74 / $14,447.95 / $14,447.95	Facility		$929.74	$14,447.95	$14,447.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,178.45 / $1,178.45 / $1,178.45	Facility		$1,178.45	$1,178.45	$1,178.45
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.95 / $116.95 / $116.95	Facility	AS	$116.95	$116.95	$116.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,868.00 / $26,542.00 / $54,441.95	Facility		$4,868.00	$26,542.00	$54,441.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $236.21 / $5,010.81 / $5,010.81	Facility	AS	$236.21	$5,010.81	$5,010.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,014.00 / $1,348.06 / $2,090.89	Facility		$1,014.00	$1,348.06	$2,090.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,014.00 / $1,350.44 / $2,167.32	Facility		$1,014.00	$1,350.44	$2,167.32
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $116.95 / $116.95 / $336.03	Facility	AS	$116.95	$116.95	$336.03
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