Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.19 / $3,500.00 / $10,893.00	Facility		$490.19	$3,500.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $339.76 / $700.88 / $13,759.00	Facility		$339.76	$700.88	$13,759.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $438.34 / $1,034.53 / $1,149.48	Facility		$438.34	$1,034.53	$1,149.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $281.00 / $295.37	Facility		$80.00	$281.00	$295.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.90 / $368.90 / $368.90	Facility		$368.90	$368.90	$368.90
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $225.79 / $225.79 / $225.79	Facility	62	$225.79	$225.79	$225.79
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $36.13 / $36.13 / $36.13	Facility	AS	$36.13	$36.13	$36.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $5,052.46	Facility		$55.00	$5,000.00	$5,052.46
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $440.49 / $919.65 / $956.47	Facility	62	$440.49	$919.65	$956.47
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $70.48 / $147.13 / $153.04	Facility	AS	$70.48	$147.13	$153.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $437.90 / $721.05	Facility		$311.13	$437.90	$721.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $438.57 / $728.25	Facility		$311.13	$438.57	$728.25
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $225.79 / $225.79 / $481.80	Facility	62	$225.79	$225.79	$481.80
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $123.34 / $123.34 / $123.34	Facility	80	$123.34	$123.34	$123.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $36.13 / $36.13 / $104.84	Facility	AS	$36.13	$36.13	$104.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00