Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.50 / $3,174.00 / $9,058.04	Facility		$777.50	$3,174.00	$9,058.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,840.09 / $8,972.92 / $17,945.84	Facility		$4,840.09	$8,972.92	$17,945.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3,583.62 / $7,740.00 / $11,368.12	Facility		$3,583.62	$7,740.00	$11,368.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $771.90 / $7,618.52 / $7,618.52	Facility		$771.90	$7,618.52	$7,618.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $939.63 / $939.63 / $939.63	Facility		$939.63	$939.63	$939.63
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $93.73 / $93.73 / $93.73	Facility	AS	$93.73	$93.73	$93.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,095.08 / $25,442.40 / $26,542.00	Facility		$3,095.08	$25,442.40	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.01 / $2,411.58 / $2,411.58	Facility	AS	$191.01	$2,411.58	$2,411.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $739.55 / $907.51 / $1,481.52	Facility		$739.55	$907.51	$1,481.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $740.73 / $907.51 / $1,563.38	Facility		$740.73	$907.51	$1,563.38
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $315.42 / $315.42 / $315.42	Facility	80	$315.42	$315.42	$315.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $93.73 / $93.73 / $268.11	Facility	AS	$93.73	$93.73	$268.11
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