Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.50 / $5,305.00 / $12,695.55	Facility		$1,337.50	$5,305.00	$12,695.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,195.76 / $7,347.24 / $14,839.49	Facility		$4,195.76	$7,347.24	$14,839.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,479.28 / $12,865.82	Facility		$990.00	$6,479.28	$12,865.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $563.51 / $5,636.13 / $5,636.13	Facility		$563.51	$5,636.13	$5,636.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $686.68 / $2,500.00 / $4,619.00	Facility		$686.68	$2,500.00	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.78 / $67.78 / $67.78	Facility	AS	$67.78	$67.78	$67.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $13,486.75	Facility		$55.00	$10,160.00	$13,486.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $133.66 / $1,279.44 / $1,279.44	Facility	AS	$133.66	$1,279.44	$1,279.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $576.11 / $714.02 / $1,330.94	Facility		$576.11	$714.02	$1,330.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $576.11 / $714.29 / $1,362.33	Facility		$576.11	$714.29	$1,362.33
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $231.39 / $231.39 / $231.39	Facility	80	$231.39	$231.39	$231.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $67.78 / $196.68 / $196.68	Facility	AS	$67.78	$196.68	$196.68
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