Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,022.64	Facility		$977.24	$3,715.35	$12,022.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $707.95 / $9,772.37	Facility		$354.81	$707.95	$9,772.37
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $457.09 / $2,570.40	Facility		$186.21	$457.09	$2,570.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $281.84 / $295.12	Facility		$79.43	$281.84	$295.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility	62	$3,162.28	$3,162.28	$3,162.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	AS	$501.19	$501.19	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $467.74 / $3,311.31	Facility		$295.12	$467.74	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $446.68 / $758.58	Facility		$295.12	$446.68	$758.58
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	22	$660.69	$660.69	$660.69
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	62	$346.74	$346.74	$346.74
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	AS	$54.95	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,128.31 / $17,378.01	Facility		$2,630.27	$8,128.31	$17,378.01