Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.01 / $2,131.00 / $7,513.00	Facility		$610.01	$2,131.00	$7,513.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $771.94 / $1,209.08 / $13,577.00	Facility		$771.94	$1,209.08	$13,577.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $2,682.72 / $4,779.38	Facility		$748.00	$2,682.72	$4,779.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $663.06 / $714.76 / $714.76	Facility		$663.06	$714.76	$714.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.56 / $866.56 / $866.56	Facility		$866.56	$866.56	$866.56
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $531.50 / $531.50 / $531.50	Facility	62	$531.50	$531.50	$531.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $85.04 / $85.04 / $85.04	Facility	AS	$85.04	$85.04	$85.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,500.00 / $11,883.48	Facility		$55.00	$5,500.00	$11,883.48
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,027.98 / $2,168.54 / $2,252.01	Facility	62	$1,027.98	$2,168.54	$2,252.01
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $164.48 / $346.97 / $360.32	Facility	AS	$164.48	$346.97	$360.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $732.82 / $999.65 / $1,705.31	Facility		$732.82	$999.65	$1,705.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $732.82 / $999.99 / $1,731.45	Facility		$732.82	$999.99	$1,731.45
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $531.50 / $531.50 / $1,129.22	Facility	62	$531.50	$531.50	$1,129.22
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $289.08 / $289.08 / $289.08	Facility	80	$289.08	$289.08	$289.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $85.04 / $85.04 / $245.72	Facility	AS	$85.04	$85.04	$245.72
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $28,409.00	Facility		$161.00	$950.00	$28,409.00