Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,682.00 / $12,826.00	Facility		$1,050.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,881.05 / $8,314.91 / $15,618.87	Facility		$1,881.05	$8,314.91	$15,618.87
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,823.13 / $5,191.45 / $9,390.95	Facility		$1,823.13	$5,191.45	$9,390.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,283.27 / $5,924.96 / $5,924.96	Facility		$1,283.27	$5,924.96	$5,924.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,567.52 / $3,603.00 / $6,702.00	Facility		$1,567.52	$3,603.00	$6,702.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $155.62 / $155.62 / $155.62	Facility	AS	$155.62	$155.62	$155.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $14,017.86	Facility		$55.00	$5,000.00	$14,017.86
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $298.97 / $635.50 / $672.91	Facility	AS	$298.97	$635.50	$672.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,310.63 / $1,677.81 / $2,722.89	Facility		$1,310.63	$1,677.81	$2,722.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,315.44 / $1,678.15 / $2,840.68	Facility		$1,315.44	$1,678.15	$2,840.68
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $524.46 / $524.46 / $524.46	Facility	80	$524.46	$524.46	$524.46
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $155.62 / $155.62 / $445.79	Facility	AS	$155.62	$155.62	$445.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00