Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,352.00 / $10,639.00	Facility		$767.00	$3,352.00	$10,639.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $846.00 / $846.00 / $846.00	Facility	22	$846.00	$846.00	$846.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,007.91 / $8,853.29 / $17,646.75	Facility		$4,007.91	$8,853.29	$17,646.75
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $6,495.05 / $11,390.35	Facility		$673.20	$6,495.05	$11,390.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $571.07 / $5,713.14 / $5,713.14	Facility		$571.07	$5,713.14	$5,713.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.52 / $691.52 / $691.52	Facility		$691.52	$691.52	$691.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.08 / $69.08 / $69.08	Facility	AS	$69.08	$69.08	$69.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,848.20 / $19,913.50 / $26,542.00	Facility		$2,848.20	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $139.90 / $1,887.52 / $1,887.52	Facility	AS	$139.90	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $595.02 / $773.87 / $1,259.00	Facility		$595.02	$773.87	$1,259.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $595.02 / $776.32 / $1,266.63	Facility		$595.02	$776.32	$1,266.63
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $233.96 / $233.96 / $233.96	Facility	80	$233.96	$233.96	$233.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $69.08 / $69.08 / $198.87	Facility	AS	$69.08	$69.08	$198.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00