Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,813.00 / $12,941.00	Facility		$945.00	$3,813.00	$12,941.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,287.00 / $4,287.00 / $4,287.00	Facility	50	$4,287.00	$4,287.00	$4,287.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,323.94 / $9,152.37 / $18,065.49	Facility		$5,323.94	$9,152.37	$18,065.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $946.44 / $7,849.46 / $13,088.49	Facility		$946.44	$7,849.46	$13,088.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $678.20 / $6,082.68 / $6,082.68	Facility		$678.20	$6,082.68	$6,082.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $850.72 / $850.72 / $850.72	Facility		$850.72	$850.72	$850.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.26 / $84.26 / $84.26	Facility	AS	$84.26	$84.26	$84.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,806.76 / $26,542.00 / $26,995.60	Facility		$2,806.76	$26,542.00	$26,995.60
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $171.43 / $2,558.80 / $2,558.80	Facility	AS	$171.43	$2,558.80	$2,558.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $696.02 / $860.60 / $1,511.58	Facility		$696.02	$860.60	$1,511.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.52 / $877.10 / $1,602.20	Facility		$700.52	$877.10	$1,602.20
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $282.39 / $282.39 / $282.39	Facility	80	$282.39	$282.39	$282.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.26 / $84.26 / $240.04	Facility	AS	$84.26	$84.26	$240.04
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