Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.94 / $3,682.00 / $12,040.00	Facility		$414.94	$3,682.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.13 / $453.63 / $2,339.85	Facility		$271.13	$453.63	$2,339.85
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $57.43 / $250.07 / $6,967.22	Facility		$57.43	$250.07	$6,967.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $231.56 / $244.33	Facility		$80.00	$231.56	$244.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.33 / $302.33 / $302.33	Facility		$302.33	$302.33	$302.33
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $29.68 / $29.68 / $29.68	Facility	AS	$29.68	$29.68	$29.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,239.62 / $5,000.00	Facility		$55.00	$4,239.62	$5,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $57.17 / $120.96 / $125.32	Facility	AS	$57.17	$120.96	$125.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.48 / $347.49 / $592.51	Facility		$251.48	$347.49	$592.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.04 / $350.63 / $607.64	Facility		$252.04	$350.63	$607.64
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $100.34 / $100.34 / $100.34	Facility	80	$100.34	$100.34	$100.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $29.68 / $29.68 / $85.29	Facility	AS	$29.68	$29.68	$85.29
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,759.00	Facility		$432.00	$2,064.00	$8,759.00