Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,995.26 / $6,760.83	Facility		$407.38	$1,995.26	$6,760.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $363.08 / $776.25	Facility		$204.17	$363.08	$776.25
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $309.03 / $549.54	Facility		$204.17	$309.03	$549.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $389.05	Facility		$125.89	$125.89	$389.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $19,498.45 / $19,498.45	Facility		$2,137.96	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	54	$1,513.56	$1,513.56	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $501.19 / $1,995.26	Facility		$346.74	$501.19	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $478.63 / $776.25	Facility		$338.84	$478.63	$776.25
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	54	$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,047.13 / $2,691.53	Facility		$162.18	$1,047.13	$2,691.53