Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.78 / $4,325.80 / $11,210.00	Facility		$1,039.78	$4,325.80	$11,210.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $9,448.70 / $9,448.70 / $9,448.70	Facility	22	$9,448.70	$9,448.70	$9,448.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,156.99 / $7,588.92 / $14,694.48	Facility		$4,156.99	$7,588.92	$14,694.48
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,239.64 / $11,643.95	Facility		$875.00	$3,239.64	$11,643.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $633.16 / $6,134.17 / $6,134.17	Facility		$633.16	$6,134.17	$6,134.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.82 / $4,105.82 / $9,229.00	Facility		$4,105.82	$4,105.82	$9,229.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $160.77 / $1,537.78 / $1,537.78	Facility	AS	$160.77	$1,537.78	$1,537.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $692.74 / $946.88 / $1,861.72	Facility		$692.74	$946.88	$1,861.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $692.74 / $947.75 / $1,832.04	Facility		$692.74	$947.75	$1,832.04
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $271.73 / $271.73 / $271.73	Facility	80	$271.73	$271.73	$271.73
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $230.97 / $230.97 / $230.97	Facility	AS	$230.97	$230.97	$230.97
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