Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.00 / $3,925.00 / $12,729.00	Facility		$1,119.00	$3,925.00	$12,729.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,174.82 / $12,703.80 / $25,071.07	Facility		$6,174.82	$12,703.80	$25,071.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,206.57 / $9,775.93 / $17,596.66	Facility		$1,206.57	$9,775.93	$17,596.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,086.65 / $10,624.84 / $10,624.84	Facility		$1,086.65	$10,624.84	$10,624.84
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 $283.62 / $2,105.03 / $2,105.03	Facility	AS	$283.62	$2,105.03	$2,105.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,221.83 / $1,646.63 / $2,752.80	Facility		$1,221.83	$1,646.63	$2,752.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,221.83 / $1,648.06 / $2,938.37	Facility		$1,221.83	$1,648.06	$2,938.37
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $465.61 / $465.61 / $465.61	Facility	80	$465.61	$465.61	$465.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $395.77 / $395.77 / $395.77	Facility	AS	$395.77	$395.77	$395.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,350.00 / $16,000.00	Facility		$2,608.00	$7,350.00	$16,000.00