Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,481.00 / $11,139.00	Facility		$803.00	$3,481.00	$11,139.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,487.17 / $4,325.17 / $8,431.35	Facility		$2,487.17	$4,325.17	$8,431.35
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $312.50 / $1,263.33 / $3,548.51	Facility		$312.50	$1,263.33	$3,548.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $517.94 / $524.19	Facility		$80.00	$517.94	$524.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $650.60 / $650.60	Facility		$650.60	$650.60	$650.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.56 / $64.56 / $64.56	Facility	AS	$64.56	$64.56	$64.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,145.64 / $11,500.00 / $26,542.00	Facility		$2,145.64	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $131.41 / $849.00 / $849.00	Facility	AS	$131.41	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.57 / $789.10 / $1,223.83	Facility		$562.57	$789.10	$1,223.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.83 / $790.84 / $1,265.08	Facility		$562.83	$790.84	$1,265.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $64.56 / $64.56 / $184.45	Facility	AS	$64.56	$64.56	$184.45
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