Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,224.00 / $12,040.00	Facility		$797.00	$3,224.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,084.66 / $9,032.74 / $17,826.21	Facility		$5,084.66	$9,032.74	$17,826.21
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $5,076.00 / $13,027.27	Facility		$557.00	$5,076.00	$13,027.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $616.62 / $6,882.11 / $6,882.11	Facility		$616.62	$6,882.11	$6,882.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.89 / $768.89 / $768.89	Facility		$768.89	$768.89	$768.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.39 / $76.39 / $76.39	Facility	AS	$76.39	$76.39	$76.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,537.04 / $25,341.00 / $26,542.00	Facility		$2,537.04	$25,341.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $154.93 / $2,401.96 / $2,401.96	Facility	AS	$154.93	$2,401.96	$2,401.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $651.25 / $863.45 / $1,322.59	Facility		$651.25	$863.45	$1,322.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $651.25 / $865.01 / $1,379.65	Facility		$651.25	$865.01	$1,379.65
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $76.39 / $76.39 / $217.87	Facility	AS	$76.39	$76.39	$217.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00