Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,124.00 / $7,542.00	Facility		$488.00	$2,124.00	$7,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,300.00 / $6,164.09 / $14,754.00	Facility		$3,300.00	$6,164.09	$14,754.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $515.36 / $2,534.52 / $8,000.00	Facility		$515.36	$2,534.52	$8,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $49.80 / $340.73	Facility		$49.80	$49.80	$340.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.46 / $444.46 / $444.46	Facility		$444.46	$444.46	$444.46
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $272.63 / $272.63 / $272.63	Facility	62	$272.63	$272.63	$272.63
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	AS	$43.62	$43.62	$43.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $6,093.64	Facility		$55.00	$5,000.00	$6,093.64
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $526.72 / $1,112.64 / $1,154.33	Facility	62	$526.72	$1,112.64	$1,154.33
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $84.28 / $178.02 / $184.69	Facility	AS	$84.28	$178.02	$184.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $375.91 / $511.16 / $828.18	Facility		$375.91	$511.16	$828.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $375.91 / $512.33 / $857.26	Facility		$375.91	$512.33	$857.26
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $272.63 / $272.63 / $578.66	Facility	62	$272.63	$272.63	$578.66
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $148.13 / $148.13 / $148.13	Facility	80	$148.13	$148.13	$148.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $43.62 / $43.62 / $125.92	Facility	AS	$43.62	$43.62	$125.92
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00