Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,495.41 / $16,218.10	Facility		$1,412.54	$5,495.41	$16,218.10
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	22	$2,630.27	$2,630.27	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $13,489.63 / $25,703.96	Facility		$6,760.83	$13,489.63	$25,703.96
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $9,332.54 / $19,054.61	Facility		$5,011.87	$9,332.54	$19,054.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $10,471.29 / $10,471.29	Facility		$1,071.52	$10,471.29	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $27,542.29	Facility		$2,818.38	$2,818.38	$27,542.29
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility	AS	$2,754.23	$2,754.23	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $13,489.63	Facility		$1,096.48	$3,715.35	$13,489.63
Moda Health Facility/Professional Facility Modifier 22 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	22	$2,630.27	$2,630.27	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,754.23	Facility		$1,096.48	$1,513.56	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,709.64 / $17,782.79	Facility		$2,630.27	$8,709.64	$17,782.79