Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $4,998.00 / $14,781.00	Facility		$1,077.00	$4,998.00	$14,781.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,998.00 / $7,497.00 / $11,291.86	Facility	50	$4,998.00	$7,497.00	$11,291.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,059.68 / $7,347.24 / $14,839.49	Facility		$4,059.68	$7,347.24	$14,839.49
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,313.40 / $5,478.35 / $12,618.47	Facility		$1,313.40	$5,478.35	$12,618.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $535.33 / $5,584.07 / $5,584.07	Facility		$535.33	$5,584.07	$5,584.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,094.91 / $3,951.00 / $4,939.00	Facility		$3,094.91	$3,951.00	$4,939.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
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 $126.10 / $1,537.78 / $1,537.78	Facility	AS	$126.10	$1,537.78	$1,537.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $541.14 / $671.08 / $1,223.28	Facility		$541.14	$671.08	$1,223.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.39 / $685.88 / $1,263.01	Facility		$542.39	$685.88	$1,263.01
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $217.26 / $217.26 / $217.26	Facility	80	$217.26	$217.26	$217.26
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $184.67 / $184.67	Facility	AS	$63.83	$184.67	$184.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,019.00 / $16,000.00	Facility		$2,600.00	$7,019.00	$16,000.00