Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,124.00 / $7,513.00	Facility		$500.00	$2,124.00	$7,513.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.83 / $832.62 / $7,346.00	Facility		$501.83	$832.62	$7,346.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $661.80 / $1,771.97 / $2,838.85	Facility		$661.80	$1,771.97	$2,838.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $421.51 / $464.83 / $464.83	Facility		$421.51	$464.83	$464.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.42 / $550.42 / $550.42	Facility		$550.42	$550.42	$550.42
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $337.64 / $337.64 / $337.64	Facility	62	$337.64	$337.64	$337.64
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	AS	$54.02	$54.02	$54.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,544.88	Facility		$55.00	$55.00	$7,544.88
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $652.16 / $1,377.59 / $1,429.34	Facility	62	$652.16	$1,377.59	$1,429.34
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $104.35 / $220.41 / $228.69	Facility	AS	$104.35	$220.41	$228.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $432.83 / $564.74 / $1,027.79	Facility		$432.83	$564.74	$1,027.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $439.57 / $573.61 / $1,104.21	Facility		$439.57	$573.61	$1,104.21
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $337.64 / $337.64 / $734.74	Facility	62	$337.64	$337.64	$734.74
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $188.09 / $188.09 / $188.09	Facility	80	$188.09	$188.09	$188.09
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $54.02 / $54.02 / $159.88	Facility	AS	$54.02	$54.02	$159.88
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00