Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,682.00 / $12,281.00	Facility		$935.00	$3,682.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,568.51 / $17,970.07 / $35,464.12	Facility		$8,568.51	$17,970.07	$35,464.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $869.11 / $12,906.10 / $16,914.37	Facility		$869.11	$12,906.10	$16,914.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $811.76 / $826.57	Facility		$80.00	$811.76	$826.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.50 / $1,018.50 / $1,018.50	Facility		$1,018.50	$1,018.50	$1,018.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $101.30 / $101.30 / $101.30	Facility	AS	$101.30	$101.30	$101.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,205.75 / $26,542.00 / $50,485.10	Facility		$4,205.75	$26,542.00	$50,485.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $204.36 / $4,785.27 / $4,785.27	Facility	AS	$204.36	$4,785.27	$4,785.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $869.49 / $1,122.19 / $1,800.00	Facility		$869.49	$1,122.19	$1,800.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $869.49 / $1,122.19 / $1,805.17	Facility		$869.49	$1,122.19	$1,805.17
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $101.30 / $101.30 / $291.04	Facility	AS	$101.30	$101.30	$291.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00