Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $3,174.00 / $9,897.00	Facility		$651.00	$3,174.00	$9,897.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,628.82 / $3,141.00 / $10,356.00	Facility		$1,628.82	$3,141.00	$10,356.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $515.36 / $8,000.00	Facility		$250.00	$515.36	$8,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $207.33 / $207.33 / $207.33	Facility		$207.33	$207.33	$207.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,855.60	Facility		$55.00	$55.00	$3,855.60
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $53.85 / $108.84 / $114.64	Facility	AS	$53.85	$108.84	$114.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $311.83 / $537.10	Facility		$231.00	$311.83	$537.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $318.77 / $549.77	Facility		$231.00	$318.77	$549.77
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $91.61 / $91.61 / $91.61	Facility	80	$91.61	$91.61	$91.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $77.87 / $77.87 / $77.87	Facility	AS	$77.87	$77.87	$77.87
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00