Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,869.00 / $10,718.00	Facility		$916.00	$3,869.00	$10,718.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,545.83 / $4,352.55 / $9,279.95	Facility		$2,545.83	$4,352.55	$9,279.95
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $946.44 / $5,069.04 / $14,722.79	Facility		$946.44	$5,069.04	$14,722.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $621.67 / $2,482.10 / $2,482.10	Facility		$621.67	$2,482.10	$2,482.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $772.62 / $772.62 / $772.62	Facility		$772.62	$772.62	$772.62
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.76 / $76.76 / $76.76	Facility	AS	$76.76	$76.76	$76.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $11,500.00 / $26,542.00	Facility		$3,825.00	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $155.52 / $849.00 / $849.00	Facility	AS	$155.52	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $652.21 / $830.37 / $1,311.79	Facility		$652.21	$830.37	$1,311.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,575.93 / $5,950.42 / $12,361.00	Facility		$4,575.93	$5,950.42	$12,361.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $654.77 / $840.53 / $1,350.85	Facility		$654.77	$840.53	$1,350.85
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $258.89 / $258.89 / $258.89	Facility	80	$258.89	$258.89	$258.89
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $76.76 / $76.76 / $220.05	Facility	AS	$76.76	$76.76	$220.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,350.00 / $16,000.00	Facility		$2,605.00	$7,350.00	$16,000.00