Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,856.00 / $14,316.00	Facility		$1,002.00	$3,856.00	$14,316.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,539.24 / $2,613.51 / $9,704.00	Facility		$1,539.24	$2,613.51	$9,704.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $508.37 / $1,361.15 / $4,000.00	Facility		$508.37	$1,361.15	$4,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $454.68 / $454.68 / $1,387.57	Facility		$454.68	$454.68	$1,387.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,738.20 / $1,738.20 / $1,738.20	Facility		$1,738.20	$1,738.20	$1,738.20
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,073.02 / $1,073.02 / $1,073.02	Facility	62	$1,073.02	$1,073.02	$1,073.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.68 / $171.68 / $171.68	Facility	AS	$171.68	$171.68	$171.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,000.00 / $15,548.58	Facility		$55.00	$11,000.00	$15,548.58
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,095.17 / $4,380.60 / $4,653.54	Facility	62	$2,095.17	$4,380.60	$4,653.54
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $335.23 / $700.90 / $744.57	Facility	AS	$335.23	$700.90	$744.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,478.09 / $1,891.29 / $3,154.25	Facility		$1,478.09	$1,891.29	$3,154.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,478.09 / $1,891.78 / $3,179.86	Facility		$1,478.09	$1,891.78	$3,179.86
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,073.02 / $1,073.02 / $2,275.50	Facility	62	$1,073.02	$1,073.02	$2,275.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $582.53 / $582.53 / $582.53	Facility	80	$582.53	$582.53	$582.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $171.68 / $171.68 / $495.15	Facility	AS	$171.68	$171.68	$495.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,453.00 / $30,113.00	Facility		$4,600.00	$9,453.00	$30,113.00