Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,365.16 / $12,302.69	Facility		$1,096.48	$4,365.16	$12,302.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,964.78 / $16,595.87 / $23,442.29	Facility	50	$10,964.78	$16,595.87	$23,442.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,120.11 / $18,197.01	Facility		$5,495.41	$9,120.11	$18,197.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $7,762.47 / $13,182.57	Facility		$1,047.13	$7,762.47	$13,182.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,623.41 / $5,623.41	Facility		$933.25	$5,623.41	$5,623.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $42,657.95 / $42,657.95	Facility		$26,915.35	$42,657.95	$42,657.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	AS	$2,691.53	$2,691.53	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $7,943.28	Facility		$977.24	$1,819.70	$7,943.28
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,964.78 / $16,595.87 / $23,442.29	Facility	50	$10,964.78	$16,595.87	$23,442.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,943.28 / $9,549.93	Facility		$5,754.40	$7,943.28	$9,549.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,290.87	Facility		$977.24	$1,348.96	$2,290.87
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility	22	$2,137.96	$2,137.96	$2,137.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	AS	$177.83	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01