Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.50 / $3,060.00 / $10,836.00	Facility		$859.50	$3,060.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,264.12 / $9,032.74 / $18,424.41	Facility		$5,264.12	$9,032.74	$18,424.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $7,235.63 / $18,595.07	Facility		$673.20	$7,235.63	$18,595.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $898.55 / $7,433.11 / $7,433.11	Facility		$898.55	$7,433.11	$7,433.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,112.59 / $1,112.59 / $1,112.59	Facility		$1,112.59	$1,112.59	$1,112.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $111.14 / $111.14 / $111.14	Facility	AS	$111.14	$111.14	$111.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,668.84 / $25,650.30 / $26,542.00	Facility		$3,668.84	$25,650.30	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $224.18 / $2,431.29 / $2,431.29	Facility	AS	$224.18	$2,431.29	$2,431.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $947.13 / $1,254.29 / $1,931.86	Facility		$947.13	$1,254.29	$1,931.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.91 / $1,257.17 / $1,984.17	Facility		$954.91	$1,257.17	$1,984.17
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $377.60 / $377.60 / $377.60	Facility	80	$377.60	$377.60	$377.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $111.14 / $111.14 / $320.95	Facility	AS	$111.14	$111.14	$320.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,953.00 / $16,194.00	Facility		$2,614.00	$7,953.00	$16,194.00