Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,553.00 / $12,040.00	Facility		$945.00	$3,553.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,769.32 / $2,967.29 / $12,237.79	Facility		$1,769.32	$2,967.29	$12,237.79
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $550.50 / $2,398.51	Facility		$110.60	$550.50	$2,398.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,613.75 / $1,683.51	Facility		$80.00	$1,613.75	$1,683.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,011.86 / $2,011.86 / $2,011.86	Facility		$2,011.86	$2,011.86	$2,011.86
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $199.12 / $199.12 / $199.12	Facility	AS	$199.12	$199.12	$199.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,907.82 / $39,500.00	Facility		$55.00	$21,907.82	$39,500.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $382.36 / $812.47 / $856.97	Facility	AS	$382.36	$812.47	$856.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,672.98 / $2,166.85 / $3,549.15	Facility		$1,672.98	$2,166.85	$3,549.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,683.92 / $2,180.67 / $3,632.92	Facility		$1,683.92	$2,180.67	$3,632.92
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $670.28 / $670.28 / $670.28	Facility	80	$670.28	$670.28	$670.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $199.12 / $199.12 / $569.74	Facility	AS	$199.12	$199.12	$569.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00