Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,682.00 / $11,453.00	Facility		$983.00	$3,682.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.81 / $6,620.89 / $12,900.05	Facility		$3,630.81	$6,620.89	$12,900.05
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,980.77 / $4,935.85	Facility		$1,200.00	$1,980.77	$4,935.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $803.25 / $9,151.25 / $9,151.25	Facility		$803.25	$9,151.25	$9,151.25
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 $55.00 / $55.00 / $12,623.50	Facility		$55.00	$55.00	$12,623.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $209.18 / $1,196.53 / $1,196.53	Facility	AS	$209.18	$1,196.53	$1,196.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $899.88 / $1,209.77 / $1,994.11	Facility		$899.88	$1,209.77	$1,994.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $899.88 / $1,220.45 / $2,386.38	Facility		$899.88	$1,220.45	$2,386.38
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $354.73 / $354.73 / $354.73	Facility	80	$354.73	$354.73	$354.73
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $301.52 / $301.52 / $301.52	Facility	AS	$301.52	$301.52	$301.52
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