Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.90 / $4,488.00 / $13,004.00	Facility		$1,214.90	$4,488.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,171.46 / $7,421.31 / $14,503.08	Facility		$4,171.46	$7,421.31	$14,503.08
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,267.26 / $3,113.41 / $4,653.74	Facility		$1,267.26	$3,113.41	$4,653.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $871.03 / $4,696.93 / $4,696.93	Facility		$871.03	$4,696.93	$4,696.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $16,547.20	Facility		$5,897.00	$5,897.00	$16,547.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $216.16 / $1,568.44 / $1,568.44	Facility	AS	$216.16	$1,568.44	$1,568.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $942.89 / $1,285.86 / $2,129.35	Facility		$942.89	$1,285.86	$2,129.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $942.89 / $1,289.67 / $2,282.98	Facility		$942.89	$1,289.67	$2,282.98
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $370.54 / $370.54 / $370.54	Facility	80	$370.54	$370.54	$370.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $314.95 / $314.95 / $314.95	Facility	AS	$314.95	$314.95	$314.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00