Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $5,123.00 / $15,920.00	Facility		$1,283.00	$5,123.00	$15,920.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,631.50 / $2,631.50 / $2,631.50	Facility	22	$2,631.50	$2,631.50	$2,631.50
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 $2,600.00 / $8,715.36 / $17,596.66	Facility		$2,600.00	$8,715.36	$17,596.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,082.50 / $10,559.29 / $10,559.29	Facility		$1,082.50	$10,559.29	$10,559.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,027.91 / $7,027.91 / $7,027.91	Facility		$7,027.91	$7,027.91	$7,027.91
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 $274.57 / $2,632.21 / $2,632.21	Facility	AS	$274.57	$2,632.21	$2,632.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,156.96 / $1,523.25 / $2,674.10	Facility		$1,156.96	$1,523.25	$2,674.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,156.96 / $1,527.65 / $2,737.17	Facility		$1,156.96	$1,527.65	$2,737.17
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $464.46 / $464.46 / $464.46	Facility	80	$464.46	$464.46	$464.46
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $394.79 / $394.79 / $394.79	Facility	AS	$394.79	$394.79	$394.79
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