Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.90 / $3,982.00 / $12,693.10	Facility		$1,241.90	$3,982.00	$12,693.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $660.75 / $771.13 / $905.66	Facility	52	$660.75	$771.13	$905.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,057.44 / $12,703.80 / $24,482.15	Facility		$6,057.44	$12,703.80	$24,482.15
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $564.01 / $1,488.17 / $4,000.00	Facility		$564.01	$1,488.17	$4,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,064.61 / $8,155.62 / $8,155.62	Facility		$1,064.61	$8,155.62	$8,155.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,800.00 / $22,189.40	Facility		$55.00	$2,800.00	$22,189.40
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,188.61 / $16,840.24 / $16,840.24	Facility	52	$2,188.61	$16,840.24	$16,840.24
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,709.85 / $13,156.44 / $13,156.44	Facility	62	$1,709.85	$13,156.44	$13,156.44
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $273.58 / $2,105.03 / $2,105.03	Facility	AS	$273.58	$2,105.03	$2,105.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,214.55 / $2,078.98 / $3,630.10	Facility		$1,214.55	$2,078.98	$3,630.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,214.55 / $2,086.50 / $3,630.10	Facility		$1,214.55	$2,086.50	$3,630.10
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,109.88 / $2,109.88 / $2,109.88	Facility	62	$2,109.88	$2,109.88	$2,109.88
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $540.13 / $540.13 / $540.13	Facility	80	$540.13	$540.13	$540.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $459.11 / $459.11 / $459.11	Facility	AS	$459.11	$459.11	$459.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00