Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.00 / $1,900.00 / $6,691.00	Facility		$509.00	$1,900.00	$6,691.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $770.92 / $1,206.98 / $13,577.00	Facility		$770.92	$1,206.98	$13,577.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $343.46 / $678.76 / $8,000.00	Facility		$343.46	$678.76	$8,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $652.53 / $711.63 / $711.63	Facility		$652.53	$711.63	$711.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $858.77 / $858.77 / $858.77	Facility		$858.77	$858.77	$858.77
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $526.61 / $526.61 / $526.61	Facility	62	$526.61	$526.61	$526.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.26 / $84.26 / $84.26	Facility	AS	$84.26	$84.26	$84.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,500.00 / $11,760.84	Facility		$55.00	$5,500.00	$11,760.84
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,020.23 / $2,142.04 / $2,231.14	Facility	62	$1,020.23	$2,142.04	$2,231.14
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $163.24 / $342.73 / $356.98	Facility	AS	$163.24	$342.73	$356.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.45 / $994.74 / $1,696.15	Facility		$724.45	$994.74	$1,696.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.45 / $998.17 / $1,724.19	Facility		$724.45	$998.17	$1,724.19
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $526.61 / $526.61 / $1,123.19	Facility	62	$526.61	$526.61	$1,123.19
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $287.54 / $287.54 / $287.54	Facility	80	$287.54	$287.54	$287.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $84.26 / $84.26 / $244.41	Facility	AS	$84.26	$84.26	$244.41
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00