Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,137.96 / $5,888.44	Facility		$524.81	$2,137.96	$5,888.44
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility	22	$1,778.28	$1,778.28	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,023.29 / $10,471.29	Facility		$416.87	$1,023.29	$10,471.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,041.74 / $5,128.61	Facility		$371.54	$2,041.74	$5,128.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $371.54 / $371.54	Facility		$346.74	$371.54	$371.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $6,165.95	Facility		$3,981.07	$3,981.07	$6,165.95
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	62	$3,890.45	$3,890.45	$3,890.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	AS	$616.60	$616.60	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $794.33 / $4,265.80	Facility		$371.54	$794.33	$4,265.80
Moda Health Facility/Professional Facility Modifier 22 Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility	22	$1,778.28	$1,778.28	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $489.78 / $912.01	Facility		$354.81	$489.78	$912.01
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $812.83 / $812.83 / $812.83	Facility	22	$812.83	$812.83	$812.83
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	62	$416.87	$416.87	$416.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	AS	$67.61	$67.61	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,803.84	Facility		$2,187.76	$6,606.93	$13,803.84