Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.50 / $3,511.00 / $9,897.00	Facility		$814.50	$3,511.00	$9,897.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,606.42 / $9,391.66 / $18,424.41	Facility		$5,606.42	$9,391.66	$18,424.41
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $4,050.00 / $31,554.29	Facility		$408.00	$4,050.00	$31,554.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $867.95 / $7,943.58 / $7,943.58	Facility		$867.95	$7,943.58	$7,943.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,104.88 / $1,104.88 / $1,104.88	Facility		$1,104.88	$1,104.88	$1,104.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $109.68	Facility	AS	$109.68	$109.68	$109.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $33,500.00	Facility		$11,500.00	$26,542.00	$33,500.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $221.11 / $2,488.28 / $2,488.28	Facility	AS	$221.11	$2,488.28	$2,488.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $951.13 / $1,245.46 / $2,166.03	Facility		$951.13	$1,245.46	$2,166.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,471.28 / $5,810.83 / $10,789.00	Facility		$4,471.28	$5,810.83	$10,789.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $951.13 / $1,245.46 / $2,161.90	Facility		$951.13	$1,245.46	$2,161.90
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $316.58	Facility	AS	$109.68	$109.68	$316.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $8,051.00 / $16,194.00	Facility		$2,614.00	$8,051.00	$16,194.00