Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $12,729.00	Facility		$945.00	$3,682.00	$12,729.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,401.56 / $17,851.06 / $35,464.12	Facility		$9,401.56	$17,851.06	$35,464.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $492.69 / $12,642.67 / $26,370.47	Facility		$492.69	$12,642.67	$26,370.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $906.51 / $13,083.91 / $13,083.91	Facility		$906.51	$13,083.91	$13,083.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,145.58 / $1,145.58 / $1,145.58	Facility		$1,145.58	$1,145.58	$1,145.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $113.45 / $113.45 / $113.45	Facility	AS	$113.45	$113.45	$113.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,760.76 / $26,542.00 / $54,390.30	Facility		$3,760.76	$26,542.00	$54,390.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $229.82 / $5,155.43 / $5,155.43	Facility	AS	$229.82	$5,155.43	$5,155.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $985.00 / $1,284.70 / $2,070.00	Facility		$985.00	$1,284.70	$2,070.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $985.00 / $1,289.14 / $2,146.03	Facility		$985.00	$1,289.14	$2,146.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $385.18 / $385.18 / $385.18	Facility	80	$385.18	$385.18	$385.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $113.45 / $113.45 / $327.41	Facility	AS	$113.45	$113.45	$327.41
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