Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $1,860.00 / $6,021.00	Facility		$150.18	$1,860.00	$6,021.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,626.93 / $2,781.33 / $5,438.66	Facility		$1,626.93	$2,781.33	$5,438.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $852.18 / $1,970.09 / $3,312.98	Facility		$852.18	$1,970.09	$3,312.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $83.07 / $83.07 / $83.07	Facility		$83.07	$83.07	$83.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.85 / $1,377.85 / $1,377.85	Facility		$1,377.85	$1,377.85	$1,377.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $463.55 / $12,000.00 / $12,000.00	Facility		$463.55	$12,000.00	$12,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $161.07 / $349.18	Facility		$96.94	$161.07	$349.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $163.02 / $376.84	Facility		$96.94	$163.02	$376.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00