Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,548.13 / $12,882.50	Facility		$870.96	$3,548.13	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,912.51 / $17,782.79	Facility		$3,311.31	$8,912.51	$17,782.79
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,258.93 / $3,162.28	Facility		$302.00	$1,258.93	$3,162.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $380.19 / $380.19	Facility		$79.43	$380.19	$380.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $33,884.42 / $33,884.42	Facility		$19,952.62	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	AS	$1,995.26	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $691.83 / $3,090.30	Facility		$426.58	$691.83	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $660.69 / $1,096.48	Facility		$426.58	$660.69	$1,096.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	AS	$69.18	$69.18	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $9,120.11	Facility		$1,380.38	$4,073.80	$9,120.11