Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,617.00 / $12,281.00	Facility		$921.00	$3,617.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,466.44 / $4,295.47 / $9,006.66	Facility		$2,466.44	$4,295.47	$9,006.66
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $742.51 / $1,549.80 / $8,129.53	Facility		$742.51	$1,549.80	$8,129.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $708.89 / $708.89 / $708.89	Facility		$708.89	$708.89	$708.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,984.00	Facility		$55.00	$55.00	$7,984.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $174.55 / $757.42 / $757.42	Facility	AS	$174.55	$757.42	$757.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $809.28 / $1,013.10 / $1,782.50	Facility		$809.28	$1,013.10	$1,782.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $809.28 / $1,045.69 / $1,983.07	Facility		$809.28	$1,045.69	$1,983.07
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