Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.18 / $5,216.00 / $13,875.77	Facility		$1,645.18	$5,216.00	$13,875.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,719.21 / $2,878.85 / $14,400.00	Facility		$1,719.21	$2,878.85	$14,400.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $568.20 / $1,499.23 / $4,000.00	Facility		$568.20	$1,499.23	$4,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,580.37 / $1,580.37 / $1,643.76	Facility		$1,580.37	$1,580.37	$1,643.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,530.00 / $12,377.00	Facility		$900.00	$2,530.00	$12,377.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.20 / $194.20 / $194.20	Facility	AS	$194.20	$194.20	$194.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,500.00 / $23,446.80	Facility		$55.00	$8,500.00	$23,446.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $382.14 / $792.48 / $834.11	Facility	AS	$382.14	$792.48	$834.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,646.46 / $2,080.92 / $3,838.47	Facility		$1,646.46	$2,080.92	$3,838.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,649.86 / $2,124.86 / $3,929.00	Facility		$1,649.86	$2,124.86	$3,929.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $665.53 / $665.53 / $665.53	Facility	80	$665.53	$665.53	$665.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $194.20 / $565.70 / $565.70	Facility	AS	$194.20	$565.70	$565.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,719.00 / $20,815.00	Facility		$2,614.00	$7,719.00	$20,815.00