Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $9,120.11 / $18,197.01	Facility		$4,786.30	$9,120.11	$18,197.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,621.81 / $9,772.37	Facility		$602.56	$1,621.81	$9,772.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $2,454.71 / $2,454.71	Facility		$234.42	$2,454.71	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $33,884.42 / $33,884.42	Facility		$19,952.62	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	AS	$1,995.26	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $616.60 / $4,466.84	Facility		$263.03	$616.60	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $446.68 / $851.14	Facility		$257.04	$446.68	$851.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	AS	$46.77	$46.77	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18