Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,677.35 / $14,454.40	Facility		$1,202.26	$4,677.35	$14,454.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,762.47 / $14,791.08	Facility		$4,365.16	$7,762.47	$14,791.08
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,025.60 / $12,022.64	Facility		$1,995.26	$6,025.60	$12,022.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $602.56	Facility		$549.54	$549.54	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,801.89 / $4,786.30	Facility		$977.24	$3,801.89	$4,786.30
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	22	$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	AS	$97.72	$97.72	$97.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $50,118.72 / $50,118.72	Facility		$16,218.10	$50,118.72	$50,118.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	AS	$1,621.81	$1,621.81	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $776.25 / $3,715.35	Facility		$562.34	$776.25	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $724.44 / $1,258.93	Facility		$549.54	$724.44	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,128.31 / $16,982.44	Facility		$2,630.27	$8,128.31	$16,982.44