Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,467.37 / $12,022.64	Facility		$977.24	$3,467.37	$12,022.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $9,332.54 / $18,197.01	Facility		$4,786.30	$9,332.54	$18,197.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $6,309.57 / $10,232.93	Facility		$812.83	$6,309.57	$10,232.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $645.65 / $660.69	Facility		$79.43	$645.65	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $45,708.82 / $45,708.82	Facility		$19,952.62	$45,708.82	$45,708.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	AS	$1,995.26	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $4,168.69	Facility		$691.83	$1,000.00	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,548.82	Facility		$676.08	$891.25	$1,548.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	AS	$123.03	$123.03	$123.03
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