Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $10,520.00	Facility		$921.00	$3,682.00	$10,520.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,297.46 / $4,297.80 / $8,384.57	Facility		$2,297.46	$4,297.80	$8,384.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $831.60 / $2,921.45 / $6,667.25	Facility		$831.60	$2,921.45	$6,667.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $657.37 / $3,237.26 / $3,237.26	Facility		$657.37	$3,237.26	$3,237.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.36 / $793.36 / $793.36	Facility		$793.36	$793.36	$793.36
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.34 / $79.34 / $79.34	Facility	AS	$79.34	$79.34	$79.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,596.60 / $11,500.00 / $26,542.00	Facility		$2,596.60	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $160.91 / $849.00 / $849.00	Facility	AS	$160.91	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $666.22 / $869.96 / $1,352.19	Facility		$666.22	$869.96	$1,352.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $671.69 / $870.00 / $1,379.70	Facility		$671.69	$870.00	$1,379.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $79.34 / $79.34 / $231.74	Facility	AS	$79.34	$79.34	$231.74
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00