Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.00 / $3,792.00 / $12,281.00	Facility		$1,076.00	$3,792.00	$12,281.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,883.00 / $11,245.50 / $11,245.50	Facility	50	$2,883.00	$11,245.50	$11,245.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,664.00 / $12,424.61 / $24,445.83	Facility		$6,664.00	$12,424.61	$24,445.83
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3,940.05 / $8,507.87 / $13,144.18	Facility		$3,940.05	$8,507.87	$13,144.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $986.22 / $9,177.62 / $9,177.62	Facility		$986.22	$9,177.62	$9,177.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $6,860.97 / $6,860.97	Facility		$3,500.00	$6,860.97	$6,860.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,110.45	Facility		$55.00	$55.00	$27,110.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $256.89 / $2,569.69 / $2,569.69	Facility	AS	$256.89	$2,569.69	$2,569.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,141.85 / $1,671.72 / $2,823.86	Facility		$1,141.85	$1,671.72	$2,823.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,141.85 / $1,688.64 / $2,890.46	Facility		$1,141.85	$1,688.64	$2,890.46
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $479.23 / $479.23 / $479.23	Facility	80	$479.23	$479.23	$479.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $407.35 / $407.35 / $407.35	Facility	AS	$407.35	$407.35	$407.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00