Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.91 / $3,429.00 / $10,528.51	Facility		$771.91	$3,429.00	$10,528.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,408.00 / $8,614.01 / $15,672.71	Facility		$3,408.00	$8,614.01	$15,672.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $6,495.05 / $12,360.60	Facility		$816.00	$6,495.05	$12,360.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $608.51 / $6,135.85 / $6,135.85	Facility		$608.51	$6,135.85	$6,135.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.93 / $749.93 / $749.93	Facility		$749.93	$749.93	$749.93
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.34 / $74.34 / $74.34	Facility	AS	$74.34	$74.34	$74.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,705.84 / $19,913.50 / $26,542.00	Facility		$3,705.84	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $152.63 / $1,887.52 / $1,887.52	Facility	AS	$152.63	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.36 / $871.93 / $1,364.53	Facility		$645.36	$871.93	$1,364.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.36 / $872.35 / $1,385.08	Facility		$645.36	$872.35	$1,385.08
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $251.18 / $251.18 / $251.18	Facility	80	$251.18	$251.18	$251.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $74.34 / $74.34 / $213.50	Facility	AS	$74.34	$74.34	$213.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00