Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.94 / $4,149.00 / $12,941.00	Facility		$1,231.94	$4,149.00	$12,941.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,487.54 / $12,152.67 / $24,482.15	Facility		$4,487.54	$12,152.67	$24,482.15
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $570.13 / $1,504.32 / $4,000.00	Facility		$570.13	$1,504.32	$4,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,565.85 / $9,325.57 / $9,325.57	Facility		$1,565.85	$9,325.57	$9,325.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,100.00 / $22,189.40	Facility		$55.00	$4,100.00	$22,189.40
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,382.09 / $13,156.44 / $13,156.44	Facility	62	$2,382.09	$13,156.44	$13,156.44
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $381.13 / $2,105.03 / $2,105.03	Facility	AS	$381.13	$2,105.03	$2,105.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,634.11 / $2,048.94 / $3,839.56	Facility		$1,634.11	$2,048.94	$3,839.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,637.17 / $2,065.21 / $3,937.62	Facility		$1,637.17	$2,065.21	$3,937.62
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,205.60 / $2,585.16 / $2,585.16	Facility	62	$1,205.60	$2,585.16	$2,585.16
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $661.80 / $661.80 / $661.80	Facility	80	$661.80	$661.80	$661.80
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $562.53 / $562.53	Facility	AS	$192.90	$562.53	$562.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $6,998.00 / $16,000.00	Facility		$2,600.00	$6,998.00	$16,000.00