Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $13,489.63	Facility		$1,096.48	$3,890.45	$13,489.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $9,549.93	Facility		$1,288.25	$2,187.76	$9,549.93
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,128.61 / $10,000.00	Facility		$891.25	$5,128.61	$10,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $1,148.15	Facility		$1,096.48	$1,148.15	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,772.37	Facility		$54.95	$56.23	$9,772.37
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility	54	$6,918.31	$6,918.31	$6,918.31
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	AS	$977.24	$977.24	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $4,677.35	Facility		$1,096.48	$1,778.28	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,691.53	Facility		$1,148.15	$1,659.59	$2,691.53
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	22	$2,511.89	$2,511.89	$2,511.89
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	54	$1,445.44	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	AS	$208.93	$208.93	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $14,125.38	Facility		$2,187.76	$6,918.31	$14,125.38