Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.00 / $2,594.00 / $7,495.00	Facility		$726.00	$2,594.00	$7,495.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,131.76 / $8,263.51 / $16,167.48	Facility		$4,131.76	$8,263.51	$16,167.48
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $4,085.02 / $4,085.02 / $5,899.80	Facility		$4,085.02	$4,085.02	$5,899.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $813.19 / $813.19 / $813.19	Facility		$813.19	$813.19	$813.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,434.96 / $4,434.96 / $4,434.96	Facility		$4,434.96	$4,434.96	$4,434.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,394.00 / $17,524.30	Facility		$11,500.00	$16,394.00	$17,524.30
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,138.55 / $10,381.59 / $10,381.59	Facility	62	$1,138.55	$10,381.59	$10,381.59
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $182.17 / $1,661.06 / $1,661.06	Facility	AS	$182.17	$1,661.06	$1,661.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $800.95 / $1,050.02 / $1,893.85	Facility		$800.95	$1,050.02	$1,893.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $800.95 / $1,071.64 / $1,981.43	Facility		$800.95	$1,071.64	$1,981.43
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,260.21 / $1,260.21 / $1,260.21	Facility	62	$1,260.21	$1,260.21	$1,260.21
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $274.22 / $274.22 / $274.22	Facility	AS	$274.22	$274.22	$274.22
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