Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,639.00 / $17,181.00	Facility		$1,380.38	$6,639.00	$17,181.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,408.00 / $4,408.00 / $4,408.00	Facility	22	$4,408.00	$4,408.00	$4,408.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,562.23 / $12,956.19 / $25,071.07	Facility		$6,562.23	$12,956.19	$25,071.07
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,534.52 / $8,714.87 / $17,596.66	Facility		$2,534.52	$8,714.87	$17,596.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $810.80 / $10,950.90 / $10,950.90	Facility		$810.80	$10,950.90	$10,950.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,027.91 / $7,027.91 / $9,229.00	Facility		$7,027.91	$7,027.91	$9,229.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,897.00 / $27,770.10	Facility		$55.00	$5,897.00	$27,770.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $205.32 / $2,632.21 / $2,632.21	Facility	AS	$205.32	$2,632.21	$2,632.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $862.74 / $1,163.41 / $2,391.66	Facility		$862.74	$1,163.41	$2,391.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,717.52 / $11,304.16 / $97,472.64	Facility		$4,717.52	$11,304.16	$97,472.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $862.74 / $1,159.79 / $2,160.96	Facility		$862.74	$1,159.79	$2,160.96
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $346.77 / $346.77 / $346.77	Facility	80	$346.77	$346.77	$346.77
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $294.75 / $294.75 / $294.75	Facility	AS	$294.75	$294.75	$294.75
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