Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,589.25	Facility		$1,000.00	$3,715.35	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,137.96 / $3,090.30 / $10,000.00	Facility	50	$2,137.96	$3,090.30	$10,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,011.87 / $9,549.93	Facility		$2,754.23	$5,011.87	$9,549.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,890.45 / $8,128.31	Facility		$1,995.26	$3,890.45	$8,128.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,951.21 / $2,951.21	Facility		$549.54	$2,951.21	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $2,818.38	Facility		$1,000.00	$2,238.72	$2,818.38
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	22	$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	AS	$100.00	$100.00	$100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $50,118.72 / $50,118.72	Facility		$9,549.93	$50,118.72	$50,118.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	AS	$954.99	$954.99	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $812.83 / $3,090.30	Facility		$575.44	$812.83	$3,090.30
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,137.96 / $3,090.30 / $10,000.00	Facility	50	$2,137.96	$3,090.30	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $776.25 / $1,348.96	Facility		$575.44	$776.25	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,011.87 / $10,964.78	Facility		$1,698.24	$5,011.87	$10,964.78