Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,869.00 / $12,483.00	Facility		$983.00	$3,869.00	$12,483.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,264.12 / $8,972.92 / $18,065.49	Facility		$5,264.12	$8,972.92	$18,065.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $946.44 / $7,622.86 / $9,548.12	Facility		$946.44	$7,622.86	$9,548.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $751.30 / $6,298.85 / $6,298.85	Facility		$751.30	$6,298.85	$6,298.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $947.45 / $947.45 / $947.45	Facility		$947.45	$947.45	$947.45
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.06 / $94.06 / $94.06	Facility	AS	$94.06	$94.06	$94.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,126.60 / $26,542.00 / $27,023.05	Facility		$3,126.60	$26,542.00	$27,023.05
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $190.89 / $2,561.40 / $2,561.40	Facility	AS	$190.89	$2,561.40	$2,561.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $784.67 / $989.76 / $1,694.94	Facility		$784.67	$989.76	$1,694.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $784.67 / $989.76 / $1,796.56	Facility		$784.67	$989.76	$1,796.56
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $94.06 / $94.06 / $268.64	Facility	AS	$94.06	$94.06	$268.64
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