Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $11,453.00	Facility		$921.00	$3,682.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $731.51 / $1,229.35 / $5,572.00	Facility		$731.51	$1,229.35	$5,572.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $322.42 / $1,000.00 / $8,000.00	Facility		$322.42	$1,000.00	$8,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $682.65 / $682.65 / $682.65	Facility		$682.65	$682.65	$682.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,065.64	Facility		$55.00	$55.00	$6,065.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $171.82 / $347.57 / $376.31	Facility	AS	$171.82	$347.57	$376.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $738.19 / $960.39 / $1,628.90	Facility		$738.19	$960.39	$1,628.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $738.19 / $962.64 / $1,667.32	Facility		$738.19	$962.64	$1,667.32
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $289.98 / $289.98 / $289.98	Facility	80	$289.98	$289.98	$289.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $246.48 / $246.48 / $246.48	Facility	AS	$246.48	$246.48	$246.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00