Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.00 / $1,964.00 / $6,021.00	Facility		$437.00	$1,964.00	$6,021.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $744.76 / $1,435.45 / $13,759.00	Facility		$744.76	$1,435.45	$13,759.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $515.36 / $8,000.00	Facility		$20.71	$515.36	$8,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $427.33 / $427.33 / $631.66	Facility		$427.33	$427.33	$631.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $825.13 / $825.13 / $825.13	Facility		$825.13	$825.13	$825.13
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $506.10 / $506.10 / $506.10	Facility	62	$506.10	$506.10	$506.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.98 / $80.98 / $80.98	Facility	AS	$80.98	$80.98	$80.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $11,297.16	Facility		$55.00	$5,000.00	$11,297.16
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $976.86 / $2,062.56 / $2,139.91	Facility	62	$976.86	$2,062.56	$2,139.91
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $156.30 / $330.01 / $342.39	Facility	AS	$156.30	$330.01	$342.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $696.87 / $960.97 / $1,629.67	Facility		$696.87	$960.97	$1,629.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $699.98 / $961.70 / $1,647.75	Facility		$699.98	$961.70	$1,647.75
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $506.10 / $506.10 / $1,077.03	Facility	62	$506.10	$506.10	$1,077.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $275.72 / $275.72 / $275.72	Facility	80	$275.72	$275.72	$275.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $80.98 / $80.98 / $234.36	Facility	AS	$80.98	$80.98	$234.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $28,862.00	Facility		$2,600.00	$7,123.00	$28,862.00