Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,511.00 / $11,139.00	Facility		$828.00	$3,511.00	$11,139.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,642.94 / $4,726.20 / $9,452.39	Facility		$2,642.94	$4,726.20	$9,452.39
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,142.40 / $3,575.29 / $9,064.40	Facility		$2,142.40	$3,575.29	$9,064.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $593.39 / $593.39 / $612.11	Facility		$593.39	$593.39	$612.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.38 / $2,418.96 / $6,644.00	Facility		$1,823.38	$2,418.96	$6,644.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.20 / $71.20 / $71.20	Facility	AS	$71.20	$71.20	$71.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,558.29 / $13,152.00 / $26,542.00	Facility		$9,558.29	$13,152.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $140.50 / $905.99 / $905.99	Facility	AS	$140.50	$905.99	$905.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $605.87 / $752.82 / $1,398.95	Facility		$605.87	$752.82	$1,398.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $605.87 / $771.20 / $1,466.10	Facility		$605.87	$771.20	$1,466.10
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $243.47 / $243.47 / $243.47	Facility	80	$243.47	$243.47	$243.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $71.20 / $206.95 / $206.95	Facility	AS	$71.20	$206.95	$206.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,688.00 / $4,964.00 / $10,476.00	Facility		$1,688.00	$4,964.00	$10,476.00