Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.73 / $3,596.00 / $14,449.00	Facility		$864.73	$3,596.00	$14,449.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,050.38 / $1,772.52 / $7,954.47	Facility		$1,050.38	$1,772.52	$7,954.47
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $491.77 / $1,875.13 / $7,195.84	Facility		$491.77	$1,875.13	$7,195.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $991.68 / $991.68 / $991.68	Facility		$991.68	$991.68	$991.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,880.67	Facility		$55.00	$55.00	$12,880.67
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,402.40 / $2,988.85 / $3,169.64	Facility	62	$1,402.40	$2,988.85	$3,169.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $224.38 / $478.22 / $507.14	Facility	AS	$224.38	$478.22	$507.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $988.80 / $1,287.50 / $2,454.44	Facility		$988.80	$1,287.50	$2,454.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $988.80 / $1,312.10 / $2,454.44	Facility		$988.80	$1,312.10	$2,454.44
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,555.81 / $1,555.81 / $1,555.81	Facility	62	$1,555.81	$1,555.81	$1,555.81
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $398.29 / $398.29 / $398.29	Facility	80	$398.29	$398.29	$398.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $338.54 / $338.54 / $338.54	Facility	AS	$338.54	$338.54	$338.54
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00