Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,466.84 / $12,882.50	Facility		$1,380.38	$4,466.84	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $13,182.57 / $25,118.86	Facility		$5,495.41	$13,182.57	$25,118.86
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,412.54 / $4,073.80	Facility		$645.65	$1,412.54	$4,073.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $8,317.64 / $8,317.64	Facility		$1,071.52	$8,317.64	$8,317.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $22,387.21	Facility		$2,818.38	$2,818.38	$22,387.21
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility	52	$17,782.79	$17,782.79	$17,782.79
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 $1,148.15 / $2,630.27 / $9,120.11	Facility		$1,148.15	$2,630.27	$9,120.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $3,388.44	Facility		$1,202.26	$2,041.74	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,715.19 / $22,908.68	Facility		$4,365.16	$10,715.19	$22,908.68