Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $3,213.00 / $9,417.26	Facility		$775.00	$3,213.00	$9,417.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,157.91 / $9,212.20 / $17,945.84	Facility		$5,157.91	$9,212.20	$17,945.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $2,808.67 / $7,254.35	Facility		$525.00	$2,808.67	$7,254.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $822.65 / $2,012.96 / $2,012.96	Facility		$822.65	$2,012.96	$2,012.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.11 / $1,039.11 / $1,039.11	Facility		$1,039.11	$1,039.11	$1,039.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $103.31 / $103.31 / $103.31	Facility	AS	$103.31	$103.31	$103.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $19,913.50 / $20,000.00	Facility		$1,800.00	$19,913.50	$20,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $208.36 / $1,887.52 / $1,887.52	Facility	AS	$208.36	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $859.98 / $1,081.73 / $1,839.79	Facility		$859.98	$1,081.73	$1,839.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,788.79 / $2,334.31 / $8,173.93	Facility		$1,788.79	$2,334.31	$8,173.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $868.84 / $1,094.02 / $1,865.90	Facility		$868.84	$1,094.02	$1,865.90
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $349.72 / $349.72 / $349.72	Facility	80	$349.72	$349.72	$349.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $103.31 / $103.31 / $297.26	Facility	AS	$103.31	$103.31	$297.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,400.00 / $16,000.00	Facility		$2,605.00	$7,400.00	$16,000.00