Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $998.12 / $3,970.00 / $12,281.00	Facility		$998.12	$3,970.00	$12,281.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,865.82 / $16,512.80 / $23,407.50	Facility	50	$10,865.82	$16,512.80	$23,407.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,383.64 / $9,272.02 / $18,065.49	Facility		$5,383.64	$9,272.02	$18,065.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $946.44 / $8,100.00 / $18,869.46	Facility		$946.44	$8,100.00	$18,869.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $943.25 / $5,631.37 / $5,631.37	Facility		$943.25	$5,631.37	$5,631.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.77 / $1,200.77 / $1,200.77	Facility		$1,200.77	$1,200.77	$1,200.77
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.08 / $119.08 / $119.08	Facility	AS	$119.08	$119.08	$119.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,963.40 / $26,542.00 / $27,167.40	Facility		$3,963.40	$26,542.00	$27,167.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $241.80 / $2,575.09 / $2,575.09	Facility	AS	$241.80	$2,575.09	$2,575.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $998.12 / $1,264.15 / $2,156.19	Facility		$998.12	$1,264.15	$2,156.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,714.74 / $7,431.22 / $12,361.00	Facility		$5,714.74	$7,431.22	$12,361.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,002.04 / $1,264.15 / $2,283.91	Facility		$1,002.04	$1,264.15	$2,283.91
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $401.12 / $401.12 / $401.12	Facility	80	$401.12	$401.12	$401.12
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $119.08 / $119.08 / $340.95	Facility	AS	$119.08	$119.08	$340.95
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