Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.00 / $3,352.00 / $11,453.00	Facility		$789.00	$3,352.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,954.14 / $8,972.92 / $17,945.84	Facility		$4,954.14	$8,972.92	$17,945.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $7,781.84 / $12,563.71	Facility		$673.20	$7,781.84	$12,563.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $686.92 / $697.61	Facility		$80.00	$686.92	$697.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.51 / $877.51 / $877.51	Facility		$877.51	$877.51	$877.51
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.09 / $87.09 / $87.09	Facility	AS	$87.09	$87.09	$87.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,896.24 / $26,542.00 / $27,586.60	Facility		$2,896.24	$26,542.00	$27,586.60
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $176.86 / $2,614.82 / $2,614.82	Facility	AS	$176.86	$2,614.82	$2,614.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $759.82 / $1,056.04 / $1,656.89	Facility		$759.82	$1,056.04	$1,656.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $759.82 / $1,059.45 / $1,717.78	Facility		$759.82	$1,059.45	$1,717.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $87.09 / $87.09 / $249.65	Facility	AS	$87.09	$87.09	$249.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00