Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.75 / $3,515.00 / $11,503.34	Facility		$863.75	$3,515.00	$11,503.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,629.20 / $17,851.06 / $34,924.07	Facility		$7,629.20	$17,851.06	$34,924.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $7,242.30 / $15,559.78	Facility		$504.00	$7,242.30	$15,559.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $662.34 / $8,558.81 / $8,558.81	Facility		$662.34	$8,558.81	$8,558.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.12 / $823.12 / $823.12	Facility		$823.12	$823.12	$823.12
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $81.76 / $81.76 / $81.76	Facility	AS	$81.76	$81.76	$81.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,706.44 / $26,542.00 / $55,899.70	Facility		$2,706.44	$26,542.00	$55,899.70
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $167.26 / $5,298.50 / $5,298.50	Facility	AS	$167.26	$5,298.50	$5,298.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $712.38 / $975.31 / $1,517.95	Facility		$712.38	$975.31	$1,517.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $712.38 / $977.59 / $1,597.72	Facility		$712.38	$977.59	$1,597.72
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $278.29 / $278.29 / $278.29	Facility	80	$278.29	$278.29	$278.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $81.76 / $81.76 / $236.54	Facility	AS	$81.76	$81.76	$236.54
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