Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $2,449.00 / $7,316.00	Facility		$524.00	$2,449.00	$7,316.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,138.32 / $4,133.55 / $8,173.76	Facility		$2,138.32	$4,133.55	$8,173.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $588.72 / $2,921.45 / $4,922.47	Facility		$588.72	$2,921.45	$4,922.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $331.77 / $333.44	Facility		$80.00	$331.77	$333.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.79 / $608.79 / $608.79	Facility		$608.79	$608.79	$608.79
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $60.88 / $60.88 / $60.88	Facility	AS	$60.88	$60.88	$60.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,682.60 / $11,500.00 / $16,394.00	Facility		$1,682.60	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.01 / $182.80 / $182.80	Facility	AS	$165.01	$182.80	$182.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $364.74 / $533.26 / $813.05	Facility		$364.74	$533.26	$813.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $365.20 / $534.08 / $843.40	Facility		$365.20	$534.08	$843.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $60.88 / $60.88 / $169.27	Facility	AS	$60.88	$60.88	$169.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00