Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,570.00 / $12,281.00	Facility		$803.00	$3,570.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,764.82 / $4,681.04 / $9,258.31	Facility		$2,764.82	$4,681.04	$9,258.31
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $769.00 / $3,129.04 / $8,100.00	Facility		$769.00	$3,129.04	$8,100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $399.13 / $402.67	Facility		$80.00	$399.13	$402.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $497.34 / $497.34 / $497.34	Facility		$497.34	$497.34	$497.34
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $49.32 / $49.32 / $49.32	Facility	AS	$49.32	$49.32	$49.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,639.08 / $11,500.00 / $26,542.00	Facility		$1,639.08	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $100.65 / $849.00 / $849.00	Facility	AS	$100.65	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $424.65 / $567.99 / $886.00	Facility		$424.65	$567.99	$886.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.14 / $572.26 / $917.94	Facility		$426.14	$572.26	$917.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $49.32 / $49.32 / $140.01	Facility	AS	$49.32	$49.32	$140.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00