Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,981.07 / $12,882.50	Facility		$1,122.02	$3,981.07	$12,882.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $33,884.42 / $33,884.42 / $33,884.42	Facility	50	$33,884.42	$33,884.42	$33,884.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $18,620.87 / $42,657.95	Facility		$10,232.93	$18,620.87	$42,657.95
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $9,332.54 / $17,378.01	Facility		$1,122.02	$9,332.54	$17,378.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $13,182.57 / $13,182.57	Facility		$1,023.29	$13,182.57	$13,182.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $51,286.14	Facility		$15,135.61	$15,135.61	$51,286.14
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility	AS	$5,128.61	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $6,309.57	Facility		$1,047.13	$1,621.81	$6,309.57
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $33,884.42 / $33,884.42 / $33,884.42	Facility	50	$33,884.42	$33,884.42	$33,884.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,570.40	Facility		$1,071.52	$1,479.11	$2,570.40
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility	22	$2,344.23	$2,344.23	$2,344.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	AS	$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $12,589.25 / $31,622.78	Facility		$4,677.35	$12,589.25	$31,622.78