Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,188.00 / $11,453.00	Facility		$797.00	$3,188.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,541.20 / $9,044.04 / $18,185.13	Facility		$4,541.20	$9,044.04	$18,185.13
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $834.73 / $6,495.05 / $9,678.00	Facility		$834.73	$6,495.05	$9,678.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $785.41 / $795.69	Facility		$80.00	$785.41	$795.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $972.74 / $972.74 / $972.74	Facility		$972.74	$972.74	$972.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $96.93 / $96.93 / $96.93	Facility	AS	$96.93	$96.93	$96.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,012.70 / $19,913.50 / $26,542.00	Facility		$4,012.70	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $195.84 / $1,887.52 / $1,887.52	Facility	AS	$195.84	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $824.09 / $1,063.85 / $1,694.28	Facility		$824.09	$1,063.85	$1,694.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $827.81 / $1,066.76 / $1,720.69	Facility		$827.81	$1,066.76	$1,720.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $96.93 / $96.93 / $280.23	Facility	AS	$96.93	$96.93	$280.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00