Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,511.89 / $6,918.31	Facility		$575.44	$2,511.89	$6,918.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,890.45 / $8,511.38	Facility		$1,023.29	$3,890.45	$8,511.38
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,258.93 / $5,128.61	Facility		$512.86	$1,258.93	$5,128.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $199.53	Facility		$109.65	$109.65	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,918.31 / $6,918.31	Facility		$3,630.78	$6,918.31	$6,918.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,011.87 / $5,011.87	Facility		$3,548.13	$5,011.87	$5,011.87
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	62	$2,238.72	$2,238.72	$2,238.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	AS	$354.81	$354.81	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,230.27 / $5,248.07	Facility		$223.87	$1,230.27	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $245.47 / $416.87	Facility		$177.83	$245.47	$416.87
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	62	$245.47	$245.47	$245.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	AS	$38.90	$38.90	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,122.02 / $11,220.18	Facility		$158.49	$1,122.02	$11,220.18