Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.00 / $3,445.00 / $10,404.00	Facility		$723.00	$3,445.00	$10,404.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,243.05 / $8,384.57	Facility		$2,436.33	$4,243.05	$8,384.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $3,120.41 / $7,289.55	Facility		$673.20	$3,120.41	$7,289.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $454.18 / $459.74	Facility		$80.00	$454.18	$459.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $563.82 / $563.82 / $563.82	Facility		$563.82	$563.82	$563.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.00 / $56.00 / $56.00	Facility	AS	$56.00	$56.00	$56.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,845.60 / $11,500.00 / $26,542.00	Facility		$1,845.60	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $113.75 / $849.00 / $849.00	Facility	AS	$113.75	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $484.44 / $648.52 / $1,083.94	Facility		$484.44	$648.52	$1,083.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $484.83 / $657.44 / $1,132.41	Facility		$484.83	$657.44	$1,132.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $56.00 / $56.00 / $159.33	Facility	AS	$56.00	$56.00	$159.33
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