Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.28 / $3,792.00 / $12,483.00	Facility		$960.28	$3,792.00	$12,483.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,618.78 / $4,297.80 / $8,384.57	Facility		$2,618.78	$4,297.80	$8,384.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,287.12 / $8,100.00	Facility		$875.00	$3,287.12	$8,100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $723.93 / $2,478.63 / $2,478.63	Facility		$723.93	$2,478.63	$2,478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.77 / $944.77 / $944.77	Facility		$944.77	$944.77	$944.77
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.40 / $94.40 / $94.40	Facility	AS	$94.40	$94.40	$94.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,015.76 / $11,500.00 / $26,542.00	Facility		$3,015.76	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $184.64 / $849.00 / $849.00	Facility	AS	$184.64	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $788.07 / $1,007.91 / $1,590.05	Facility		$788.07	$1,007.91	$1,590.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $788.07 / $1,011.09 / $1,619.85	Facility		$788.07	$1,011.09	$1,619.85
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $317.08 / $317.08 / $317.08	Facility	80	$317.08	$317.08	$317.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $94.40 / $94.40 / $269.52	Facility	AS	$94.40	$94.40	$269.52
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