Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,265.80 / $14,454.40	Facility		$1,202.26	$4,265.80	$14,454.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $4,677.35 / $4,677.35 / $7,762.47	Facility	52	$4,677.35	$4,677.35	$7,762.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $33,884.42	Facility		$1,445.44	$2,630.27	$33,884.42
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,623.41 / $17,378.01	Facility		$2,041.74	$5,623.41	$17,378.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,230.27 / $1,288.25	Facility		$79.43	$1,230.27	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,882.50	Facility		$54.95	$56.23	$12,882.50
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility	52	$10,232.93	$10,232.93	$10,232.93
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	AS	$1,288.25	$1,288.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $5,248.07	Facility		$1,258.93	$1,862.09	$5,248.07
Moda Health Facility/Professional Facility Modifier 52 Low / Median / High Price $4,677.35 / $4,677.35 / $7,762.47	Facility	52	$4,677.35	$4,677.35	$7,762.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,090.30	Facility		$1,318.26	$1,819.70	$3,090.30
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	22	$2,884.03	$2,884.03	$2,884.03
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	52	$1,905.46	$1,905.46	$1,905.46
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	AS	$239.88	$239.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $11,220.18 / $27,542.29	Facility		$4,677.35	$11,220.18	$27,542.29