Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.00 / $3,970.00 / $12,149.00	Facility		$1,076.00	$3,970.00	$12,149.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,015.05 / $12,703.80 / $25,407.59	Facility		$7,015.05	$12,703.80	$25,407.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $517.52 / $4,000.00 / $13,671.98	Facility		$517.52	$4,000.00	$13,671.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $987.73 / $7,925.20 / $7,925.20	Facility		$987.73	$7,925.20	$7,925.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,847.00 / $5,292.00	Facility		$900.00	$2,847.00	$5,292.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $120.50 / $120.50 / $120.50	Facility	AS	$120.50	$120.50	$120.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $22,189.40	Facility		$55.00	$10,160.00	$22,189.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $237.15 / $2,105.03 / $2,105.03	Facility	AS	$237.15	$2,105.03	$2,105.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,034.60 / $1,301.53 / $2,325.96	Facility		$1,034.60	$1,301.53	$2,325.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,034.60 / $1,322.07 / $2,450.17	Facility		$1,034.60	$1,322.07	$2,450.17
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $413.06 / $413.06 / $413.06	Facility	80	$413.06	$413.06	$413.06
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $120.50 / $351.10 / $351.10	Facility	AS	$120.50	$351.10	$351.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $16,018.00	Facility		$2,605.00	$7,123.00	$16,018.00