Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.00 / $4,185.00 / $13,689.00	Facility		$1,267.00	$4,185.00	$13,689.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,208.63 / $7,566.83 / $14,648.60	Facility		$4,208.63	$7,566.83	$14,648.60
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $6,394.65 / $13,045.10	Facility		$1,250.00	$6,394.65	$13,045.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,154.33 / $5,705.50 / $5,705.50	Facility		$1,154.33	$5,705.50	$5,705.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $13,960.05	Facility		$5,897.00	$5,897.00	$13,960.05
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $294.83 / $1,324.34 / $1,324.34	Facility	AS	$294.83	$1,324.34	$1,324.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,274.88 / $1,680.33 / $2,904.85	Facility		$1,274.88	$1,680.33	$2,904.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,274.88 / $1,712.11 / $3,043.04	Facility		$1,274.88	$1,712.11	$3,043.04
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $504.16 / $504.16 / $504.16	Facility	80	$504.16	$504.16	$504.16
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $428.53 / $428.53 / $428.53	Facility	AS	$428.53	$428.53	$428.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,918.00 / $13,134.00	Facility		$2,093.00	$5,918.00	$13,134.00