Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.33 / $3,792.00 / $13,004.00	Facility		$1,203.33	$3,792.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,121.85 / $7,421.31 / $14,503.08	Facility		$4,121.85	$7,421.31	$14,503.08
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $6,394.65 / $13,045.10	Facility		$1,300.00	$6,394.65	$13,045.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,174.59 / $1,174.59 / $1,174.59	Facility		$1,174.59	$1,174.59	$1,174.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,960.05	Facility		$55.00	$55.00	$13,960.05
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $289.04 / $1,324.34 / $1,324.34	Facility	AS	$289.04	$1,324.34	$1,324.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,251.49 / $1,645.22 / $2,849.07	Facility		$1,251.49	$1,645.22	$2,849.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,251.49 / $1,645.28 / $2,916.26	Facility		$1,251.49	$1,645.28	$2,916.26
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $496.83 / $496.83 / $496.83	Facility	80	$496.83	$496.83	$496.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $422.31 / $422.31 / $422.31	Facility	AS	$422.31	$422.31	$422.31
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