Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,682.00 / $11,011.00	Facility		$748.00	$3,682.00	$11,011.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,895.86 / $7,250.57 / $14,543.00	Facility		$3,895.86	$7,250.57	$14,543.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $5,172.13 / $9,294.85	Facility		$816.00	$5,172.13	$9,294.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $308.35 / $5,023.22 / $5,023.22	Facility		$308.35	$5,023.22	$5,023.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,024.00 / $3,720.90 / $4,105.82	Facility		$2,024.00	$3,720.90	$4,105.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $37.06 / $37.06 / $37.06	Facility	AS	$37.06	$37.06	$37.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,223.75 / $26,542.00	Facility		$11,500.00	$16,223.75	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $73.48 / $1,537.78 / $1,537.78	Facility	AS	$73.48	$1,537.78	$1,537.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $315.30 / $400.63 / $720.48	Facility		$315.30	$400.63	$720.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $315.66 / $409.89 / $759.00	Facility		$315.66	$409.89	$759.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $125.78 / $125.78 / $125.78	Facility	80	$125.78	$125.78	$125.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $37.06 / $106.92 / $106.92	Facility	AS	$37.06	$106.92	$106.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $13,237.00	Facility		$2,093.00	$5,870.00	$13,237.00