Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.00 / $3,894.00 / $13,560.00	Facility		$1,171.00	$3,894.00	$13,560.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,474.65 / $15,531.00 / $36,535.18	Facility		$2,474.65	$15,531.00	$36,535.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,759.96 / $5,980.77 / $23,117.39	Facility		$1,759.96	$5,980.77	$23,117.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,652.51 / $19,378.48 / $19,378.48	Facility		$1,652.51	$19,378.48	$19,378.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.71 / $2,059.71 / $2,059.71	Facility		$2,059.71	$2,059.71	$2,059.71
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,274.33 / $1,274.33 / $1,274.33	Facility	62	$1,274.33	$1,274.33	$1,274.33
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $203.90 / $203.90 / $203.90	Facility	AS	$203.90	$203.90	$203.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $18,425.16	Facility		$55.00	$55.00	$18,425.16
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,466.09 / $5,209.43 / $5,516.33	Facility	62	$2,466.09	$5,209.43	$5,516.33
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $394.58 / $833.51 / $882.61	Facility	AS	$394.58	$833.51	$882.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,639.08 / $2,101.35 / $3,824.26	Facility		$1,639.08	$2,101.35	$3,824.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,675.23 / $2,139.23 / $4,106.46	Facility		$1,675.23	$2,139.23	$4,106.46
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,274.33 / $1,274.33 / $2,754.79	Facility	62	$1,274.33	$1,274.33	$2,754.79
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $705.23 / $705.23 / $705.23	Facility	80	$705.23	$705.23	$705.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $203.90 / $203.90 / $599.44	Facility	AS	$203.90	$203.90	$599.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $10,235.00 / $25,304.00	Facility		$5,470.00	$10,235.00	$25,304.00