Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,890.45 / $12,022.64	Facility		$1,000.00	$3,890.45	$12,022.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $8,317.64	Facility		$2,344.23	$4,365.16	$8,317.64
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,445.44 / $6,606.93	Facility		$630.96	$1,445.44	$6,606.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,754.23 / $2,754.23	Facility		$660.69	$2,754.23	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $33,884.42 / $33,884.42	Facility		$8,912.51	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $4,466.84	Facility		$676.08	$977.24	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,412.54	Facility		$676.08	$891.25	$1,412.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	AS	$114.82	$114.82	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,897.79	Facility		$724.44	$2,511.89	$4,897.79