Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.61 / $3,682.00 / $12,826.00	Facility		$1,011.61	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,084.66 / $9,092.56 / $18,389.06	Facility		$5,084.66	$9,092.56	$18,389.06
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3,298.68 / $6,495.05 / $9,390.95	Facility		$3,298.68	$6,495.05	$9,390.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,150.15 / $5,663.64 / $5,663.64	Facility		$1,150.15	$5,663.64	$5,663.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,403.28 / $3,603.00 / $6,702.00	Facility		$1,403.28	$3,603.00	$6,702.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $139.43 / $139.43 / $139.43	Facility	AS	$139.43	$139.43	$139.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $19,913.50	Facility		$5,897.00	$5,897.00	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $269.27 / $1,887.52 / $1,887.52	Facility	AS	$269.27	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,165.39 / $1,483.22 / $2,717.80	Facility		$1,165.39	$1,483.22	$2,717.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,167.53 / $1,494.06 / $2,787.21	Facility		$1,167.53	$1,494.06	$2,787.21
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $468.69 / $468.69 / $468.69	Facility	80	$468.69	$468.69	$468.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $139.43 / $139.43 / $398.39	Facility	AS	$139.43	$139.43	$398.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,333.00 / $16,000.00	Facility		$2,605.00	$7,333.00	$16,000.00