Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,623.41 / $12,589.25	Facility		$1,819.70	$5,623.41	$12,589.25
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,905.46 / $1,905.46 / $6,760.83	Facility	22	$1,905.46	$1,905.46	$6,760.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $6,606.93 / $16,218.10	Facility	50	$3,090.30	$6,606.93	$16,218.10
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	80	$2,691.53	$2,691.53	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $15,135.61	Facility		$4,265.80	$7,762.47	$15,135.61
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,630.27 / $9,772.37	Facility		$691.83	$2,630.27	$9,772.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $6,025.60 / $6,025.60	Facility		$575.44	$6,025.60	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,332.54 / $9,332.54	Facility		$4,073.80	$9,332.54	$9,332.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $42,657.95 / $42,657.95	Facility		$16,218.10	$42,657.95	$42,657.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	AS	$1,621.81	$1,621.81	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,818.38 / $10,715.19	Facility		$660.69	$2,818.38	$10,715.19
Moda Health Facility/Professional Facility Modifier 22 Low / Median / High Price $1,905.46 / $6,760.83 / $8,709.64	Facility	22	$1,905.46	$6,760.83	$8,709.64
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,951.21 / $7,079.46 / $16,595.87	Facility	50	$2,951.21	$7,079.46	$16,595.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $1,479.11	Facility		$588.84	$851.14	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01