Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $3,822.94 / $10,481.00	Facility		$951.00	$3,822.94	$10,481.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,922.92 / $7,298.90 / $14,839.49	Facility		$3,922.92	$7,298.90	$14,839.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $5,291.59 / $10,072.77	Facility		$850.00	$5,291.59	$10,072.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $321.22 / $4,513.39 / $4,513.39	Facility		$321.22	$4,513.39	$4,513.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $3,720.90 / $4,619.00	Facility		$2,500.00	$3,720.90	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $38.74 / $38.74 / $38.74	Facility	AS	$38.74	$38.74	$38.74
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 $76.94 / $1,537.78 / $1,537.78	Facility	AS	$76.94	$1,537.78	$1,537.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.60 / $419.30 / $761.74	Facility		$330.60	$419.30	$761.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $332.15 / $427.28 / $848.10	Facility		$332.15	$427.28	$848.10
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $131.82 / $131.82 / $131.82	Facility	80	$131.82	$131.82	$131.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $38.74 / $112.05 / $112.05	Facility	AS	$38.74	$112.05	$112.05
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