Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.60 / $2,500.00 / $7,316.00	Facility		$688.60	$2,500.00	$7,316.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.22 / $2,716.57 / $5,381.57	Facility		$1,530.22	$2,716.57	$5,381.57
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $749.92 / $2,250.00	Facility		$147.18	$749.92	$2,250.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $503.68 / $1,517.41 / $1,517.41	Facility		$503.68	$1,517.41	$1,517.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.79 / $633.79 / $633.79	Facility		$633.79	$633.79	$633.79
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.12 / $63.12 / $63.12	Facility	AS	$63.12	$63.12	$63.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,133.08 / $11,500.00 / $16,394.00	Facility		$3,133.08	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $127.48 / $497.27 / $497.27	Facility	AS	$127.48	$497.27	$497.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $529.98 / $663.62 / $1,081.75	Facility		$529.98	$663.62	$1,081.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $532.07 / $667.42 / $1,118.97	Facility		$532.07	$667.42	$1,118.97
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $63.12 / $63.12 / $182.05	Facility	AS	$63.12	$63.12	$182.05
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