Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,420.00 / $12,767.00	Facility		$895.00	$3,420.00	$12,767.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,137.46 / $7,960.68 / $15,345.26	Facility		$4,137.46	$7,960.68	$15,345.26
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,131.43 / $6,123.52 / $13,857.31	Facility		$1,131.43	$6,123.52	$13,857.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,041.17 / $7,931.48 / $7,931.48	Facility		$1,041.17	$7,931.48	$7,931.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $265.48 / $1,442.13 / $1,442.13	Facility	AS	$265.48	$1,442.13	$1,442.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,291.90 / $1,794.64	Facility		$1,022.07	$1,291.90	$1,794.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,033.52 / $1,299.51 / $1,921.02	Facility		$1,033.52	$1,299.51	$1,921.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,237.00	Facility		$2,093.00	$6,000.00	$13,237.00