Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,445.00 / $12,767.00	Facility		$797.00	$3,445.00	$12,767.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,895.88 / $17,851.06 / $34,924.07	Facility		$7,895.88	$17,851.06	$34,924.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $7,849.46 / $17,158.97 / $22,950.00	Facility		$7,849.46	$17,158.97	$22,950.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $403.88 / $403.88 / $759.70	Facility		$403.88	$403.88	$759.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.40 / $953.40 / $953.40	Facility		$953.40	$953.40	$953.40
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.58 / $94.58 / $94.58	Facility	AS	$94.58	$94.58	$94.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,934.85 / $26,542.00 / $48,134.90	Facility		$3,934.85	$26,542.00	$48,134.90
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.70 / $4,562.51 / $4,562.51	Facility	AS	$191.70	$4,562.51	$4,562.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $814.20 / $1,054.29 / $1,632.83	Facility		$814.20	$1,054.29	$1,632.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $814.20 / $1,055.75 / $1,687.04	Facility		$814.20	$1,055.75	$1,687.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $94.58 / $94.58 / $270.62	Facility	AS	$94.58	$94.58	$270.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,953.00 / $16,566.00	Facility		$2,614.00	$7,953.00	$16,566.00