Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,742.00 / $12,567.06	Facility		$969.00	$3,742.00	$12,567.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,007.02 / $4,618.58 / $11,000.00	Facility		$2,007.02	$4,618.58	$11,000.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $461.34 / $1,500.65 / $6,253.64	Facility		$461.34	$1,500.65	$6,253.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $885.24 / $885.24 / $917.55	Facility		$885.24	$885.24	$917.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,272.23 / $3,168.02 / $12,377.00	Facility		$2,272.23	$3,168.02	$12,377.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $107.75 / $107.75 / $107.75	Facility	AS	$107.75	$107.75	$107.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,044.12 / $14,630.00	Facility		$55.00	$13,044.12	$14,630.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $211.41 / $1,008.48 / $1,008.48	Facility	AS	$211.41	$1,008.48	$1,008.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $914.04 / $1,145.16 / $2,125.53	Facility		$914.04	$1,145.16	$2,125.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $914.04 / $1,155.13 / $2,251.92	Facility		$914.04	$1,155.13	$2,251.92
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $368.87 / $368.87 / $368.87	Facility	80	$368.87	$368.87	$368.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $107.75 / $313.54 / $313.54	Facility	AS	$107.75	$313.54	$313.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $10,133.00 / $24,806.00	Facility		$4,409.00	$10,133.00	$24,806.00