Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,011.87 / $15,135.61	Facility		$1,584.89	$5,011.87	$15,135.61
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility	62	$3,162.28	$3,162.28	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $12,589.25 / $25,118.86	Facility		$7,079.46	$12,589.25	$25,118.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $16,982.44 / $28,183.83	Facility		$1,258.93	$16,982.44	$28,183.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $8,912.51 / $8,912.51	Facility		$1,380.38	$8,912.51	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,513.56 / $8,709.64	Facility		$891.25	$1,513.56	$8,709.64
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility	22	$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	62	$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	AS	$263.03	$263.03	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $22,387.21	Facility		$3,235.94	$3,235.94	$22,387.21
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility	62	$13,803.84	$13,803.84	$13,803.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	AS	$2,238.72	$2,238.72	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $7,244.36	Facility		$1,412.54	$2,187.76	$7,244.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,467.37	Facility		$1,445.44	$1,949.84	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $8,128.31 / $17,378.01	Facility		$2,570.40	$8,128.31	$17,378.01