Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,186.00 / $10,893.00	Facility		$767.00	$3,186.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,017.43 / $3,640.66 / $7,861.04	Facility		$2,017.43	$3,640.66	$7,861.04
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,849.50 / $3,127.54 / $8,000.00	Facility		$1,849.50	$3,127.54	$8,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $674.87 / $691.19	Facility		$80.00	$674.87	$691.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $834.41 / $834.41 / $834.41	Facility		$834.41	$834.41	$834.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $82.62 / $82.62 / $82.62	Facility	AS	$82.62	$82.62	$82.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,817.20	Facility		$55.00	$55.00	$6,817.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.45 / $646.16 / $646.16	Facility	AS	$165.45	$646.16	$646.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $687.63 / $879.80 / $1,482.64	Facility		$687.63	$879.80	$1,482.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $687.63 / $898.47 / $1,554.56	Facility		$687.63	$898.47	$1,554.56
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $82.62 / $82.62 / $238.62	Facility	AS	$82.62	$82.62	$238.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00