Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.09 / $4,435.00 / $13,813.00	Facility		$1,083.09	$4,435.00	$13,813.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,991.69 / $7,164.35 / $14,454.58	Facility		$3,991.69	$7,164.35	$14,454.58
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,313.40 / $5,397.10 / $12,453.63	Facility		$1,313.40	$5,397.10	$12,453.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $902.39 / $5,543.52 / $5,543.52	Facility		$902.39	$5,543.52	$5,543.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,156.62 / $4,026.16 / $4,939.00	Facility		$3,156.62	$4,026.16	$4,939.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.93 / $118.93 / $118.93	Facility	AS	$118.93	$118.93	$118.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,547.20 / $26,542.00	Facility		$11,500.00	$16,547.20	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $241.69 / $1,568.44 / $1,568.44	Facility	AS	$241.69	$1,568.44	$1,568.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,028.15 / $1,344.65 / $2,250.28	Facility		$1,028.15	$1,344.65	$2,250.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,029.06 / $1,364.78 / $2,370.40	Facility		$1,029.06	$1,364.78	$2,370.40
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $402.14 / $402.14 / $402.14	Facility	80	$402.14	$402.14	$402.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $118.93 / $341.82 / $341.82	Facility	AS	$118.93	$341.82	$341.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $13,237.00	Facility		$2,093.00	$5,870.00	$13,237.00