Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,530.47 / $10,836.00	Facility		$803.00	$3,530.47	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.81 / $6,578.17 / $12,942.77	Facility		$3,630.81	$6,578.17	$12,942.77
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $573.60 / $2,058.66 / $12,259.45	Facility		$573.60	$2,058.66	$12,259.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $534.23 / $3,899.79 / $3,899.79	Facility		$534.23	$3,899.79	$3,899.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,194.69 / $3,194.69 / $3,194.69	Facility		$3,194.69	$3,194.69	$3,194.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $139.33 / $1,196.53 / $1,196.53	Facility	AS	$139.33	$1,196.53	$1,196.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $533.32 / $745.76 / $1,298.83	Facility		$533.32	$745.76	$1,298.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $533.32 / $755.94 / $1,579.76	Facility		$533.32	$755.94	$1,579.76
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $234.48 / $234.48 / $234.48	Facility	80	$234.48	$234.48	$234.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $199.31 / $199.31 / $199.31	Facility	AS	$199.31	$199.31	$199.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00