Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,500.00 / $10,481.00	Facility		$921.00	$3,500.00	$10,481.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,485.14 / $8,913.11 / $17,660.22	Facility		$4,485.14	$8,913.11	$17,660.22
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $116.78 / $1,307.16 / $2,808.67	Facility		$116.78	$1,307.16	$2,808.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $684.72 / $2,916.90 / $2,916.90	Facility		$684.72	$2,916.90	$2,916.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.53 / $845.53 / $845.53	Facility		$845.53	$845.53	$845.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.96 / $83.96 / $83.96	Facility	AS	$83.96	$83.96	$83.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,787.60 / $19,913.50 / $26,542.00	Facility		$2,787.60	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $171.48 / $1,887.52 / $1,887.52	Facility	AS	$171.48	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $727.22 / $933.29 / $1,435.00	Facility		$727.22	$933.29	$1,435.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $728.51 / $951.63 / $1,499.93	Facility		$728.51	$951.63	$1,499.93
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $283.68 / $283.68 / $283.68	Facility	80	$283.68	$283.68	$283.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $83.96 / $83.96 / $241.13	Facility	AS	$83.96	$83.96	$241.13
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