Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,219.00 / $11,453.00	Facility		$797.00	$3,219.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,906.76 / $7,068.96 / $13,696.65	Facility		$3,906.76	$7,068.96	$13,696.65
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,018.89 / $2,480.79 / $4,138.13	Facility		$1,018.89	$2,480.79	$4,138.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $615.79 / $5,052.74 / $5,052.74	Facility		$615.79	$5,052.74	$5,052.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,320.03 / $4,320.03 / $4,320.03	Facility		$4,320.03	$4,320.03	$4,320.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $150.07 / $1,618.01 / $1,618.01	Facility	AS	$150.07	$1,618.01	$1,618.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $672.60 / $847.65 / $1,536.47	Facility		$672.60	$847.65	$1,536.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $688.44 / $902.33 / $1,894.83	Facility		$688.44	$902.33	$1,894.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $6,646.00 / $13,190.00	Facility		$2,605.00	$6,646.00	$13,190.00