Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,629.00 / $10,893.00	Facility		$921.00	$3,629.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,162.10 / $7,250.57 / $14,404.46	Facility		$4,162.10	$7,250.57	$14,404.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $6,035.90 / $12,865.82	Facility		$814.00	$6,035.90	$12,865.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $844.06 / $6,830.53 / $6,830.53	Facility		$844.06	$6,830.53	$6,830.53
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 $102.97 / $102.97 / $102.97	Facility	AS	$102.97	$102.97	$102.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,800.00 / $13,486.75	Facility		$55.00	$2,800.00	$13,486.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $202.78 / $1,279.44 / $1,279.44	Facility	AS	$202.78	$1,279.44	$1,279.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $875.62 / $1,099.50 / $2,037.66	Facility		$875.62	$1,099.50	$2,037.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $875.62 / $1,109.68 / $2,085.71	Facility		$875.62	$1,109.68	$2,085.71
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $352.42 / $352.42 / $352.42	Facility	80	$352.42	$352.42	$352.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $102.97 / $299.56 / $299.56	Facility	AS	$102.97	$299.56	$299.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,019.00 / $16,000.00	Facility		$2,600.00	$7,019.00	$16,000.00