Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,774.00 / $14,316.00	Facility		$983.00	$3,774.00	$14,316.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,335.60 / $17,375.04 / $42,010.12	Facility		$8,335.60	$17,375.04	$42,010.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $22,458.59 / $51,023.52	Facility		$4,000.00	$22,458.59	$51,023.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,428.48 / $15,561.31 / $15,561.31	Facility		$1,428.48	$15,561.31	$15,561.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,799.47 / $1,799.47 / $1,799.47	Facility		$1,799.47	$1,799.47	$1,799.47
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,113.57 / $1,113.57 / $1,113.57	Facility	62	$1,113.57	$1,113.57	$1,113.57
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $178.17 / $178.17 / $178.17	Facility	AS	$178.17	$178.17	$178.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $45,000.00 / $79,615.70	Facility		$55.00	$45,000.00	$79,615.70
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,172.83 / $47,165.25 / $47,165.25	Facility	62	$2,172.83	$47,165.25	$47,165.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $347.65 / $7,546.44 / $7,546.44	Facility	AS	$347.65	$7,546.44	$7,546.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,537.80 / $1,959.95 / $3,291.71	Facility		$1,537.80	$1,959.95	$3,291.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,537.80 / $1,963.30 / $3,465.00	Facility		$1,537.80	$1,963.30	$3,465.00
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,113.57 / $1,113.57 / $2,361.83	Facility	62	$1,113.57	$1,113.57	$2,361.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $604.63 / $604.63 / $604.63	Facility	80	$604.63	$604.63	$604.63
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $178.17 / $178.17 / $513.92	Facility	AS	$178.17	$178.17	$513.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,333.00 / $16,000.00	Facility		$2,605.00	$7,333.00	$16,000.00