Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,630.27 / $6,918.31	Facility		$691.83	$2,630.27	$6,918.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,344.23 / $4,677.35	Facility		$1,230.27	$2,344.23	$4,677.35
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,041.74 / $3,715.35	Facility		$549.54	$2,041.74	$3,715.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,412.54 / $1,412.54	Facility		$173.78	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,148.15 / $1,445.44	Facility		$338.84	$1,148.15	$1,445.44
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	62	$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	AS	$33.88	$33.88	$33.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $28,840.32 / $28,840.32	Facility		$4,897.79	$28,840.32	$28,840.32
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	52	$3,890.45	$3,890.45	$3,890.45
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	53	$977.24	$977.24	$977.24
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	62	$3,090.30	$3,090.30	$3,090.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	AS	$489.78	$489.78	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $446.68 / $4,365.16	Facility		$199.53	$446.68	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $295.12 / $524.81	Facility		$190.55	$295.12	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30