Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,459.00 / $9,458.00	Facility		$803.00	$3,459.00	$9,458.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,297.80 / $9,279.95	Facility		$2,436.33	$4,297.80	$9,279.95
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $263.61 / $2,289.78 / $3,156.50	Facility		$263.61	$2,289.78	$3,156.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $501.72 / $3,826.89 / $3,826.89	Facility		$501.72	$3,826.89	$3,826.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $619.72 / $619.72 / $619.72	Facility		$619.72	$619.72	$619.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $61.52 / $61.52 / $61.52	Facility	AS	$61.52	$61.52	$61.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,067.32 / $11,500.00 / $26,542.00	Facility		$3,067.32	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $124.84 / $849.00 / $849.00	Facility	AS	$124.84	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $534.46 / $711.48 / $1,189.03	Facility		$534.46	$711.48	$1,189.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.04 / $1,794.76 / $7,290.00	Facility		$1,380.04	$1,794.76	$7,290.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $534.46 / $711.94 / $1,207.45	Facility		$534.46	$711.94	$1,207.45
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $207.11 / $207.11 / $207.11	Facility	80	$207.11	$207.11	$207.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $61.52 / $61.52 / $176.04	Facility	AS	$61.52	$61.52	$176.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00