Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.24 / $4,912.00 / $15,688.25	Facility		$1,466.24	$4,912.00	$15,688.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,730.49 / $13,040.32 / $25,071.07	Facility		$6,730.49	$13,040.32	$25,071.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,061.44 / $10,547.63 / $18,861.34	Facility		$2,061.44	$10,547.63	$18,861.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,307.96 / $11,200.21 / $11,200.21	Facility		$1,307.96	$11,200.21	$11,200.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $22,189.40	Facility		$55.00	$10,160.00	$22,189.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $339.50 / $2,105.03 / $2,105.03	Facility	AS	$339.50	$2,105.03	$2,105.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,459.38 / $1,902.03 / $3,290.66	Facility		$1,459.38	$1,902.03	$3,290.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,459.38 / $1,902.03 / $3,756.76	Facility		$1,459.38	$1,902.03	$3,756.76
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $558.76 / $558.76 / $558.76	Facility	80	$558.76	$558.76	$558.76
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $474.95 / $474.95 / $474.95	Facility	AS	$474.95	$474.95	$474.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,400.00 / $16,000.00	Facility		$2,608.00	$7,400.00	$16,000.00