Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.54 / $3,596.00 / $12,040.00	Facility		$879.54	$3,596.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,642.94 / $4,757.29 / $9,421.29	Facility		$2,642.94	$4,757.29	$9,421.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $415.80 / $1,348.14 / $3,548.51	Facility		$415.80	$1,348.14	$3,548.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $540.19 / $2,768.00 / $2,768.00	Facility		$540.19	$2,768.00	$2,768.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.38 / $2,418.96 / $3,125.00	Facility		$1,823.38	$2,418.96	$3,125.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.65 / $64.65 / $64.65	Facility	AS	$64.65	$64.65	$64.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,558.29 / $11,500.00 / $26,542.00	Facility		$9,558.29	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $127.63 / $905.99 / $905.99	Facility	AS	$127.63	$905.99	$905.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.62 / $686.14 / $1,233.14	Facility		$549.62	$686.14	$1,233.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.71 / $701.59 / $1,298.98	Facility		$549.71	$701.59	$1,298.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $64.65 / $187.62 / $187.62	Facility	AS	$64.65	$187.62	$187.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00