Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,166.00 / $8,695.00	Facility		$424.00	$2,166.00	$8,695.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,646.00 / $8,585.00	Facility		$1,845.00	$5,646.00	$8,585.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $1,039.88 / $8,000.00	Facility		$187.00	$1,039.88	$8,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $97.40 / $97.40 / $224.17	Facility		$97.40	$97.40	$224.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.27 / $3,603.00 / $6,702.00	Facility		$293.27	$3,603.00	$6,702.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $179.89 / $179.89 / $179.89	Facility	62	$179.89	$179.89	$179.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $28.78 / $28.78 / $28.78	Facility	AS	$28.78	$28.78	$28.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,116.84 / $5,000.00	Facility		$55.00	$4,116.84	$5,000.00
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $347.99 / $735.14 / $762.56	Facility	62	$347.99	$735.14	$762.56
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $55.68 / $117.62 / $122.01	Facility	AS	$55.68	$117.62	$122.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $221.79 / $282.92 / $461.52	Facility		$221.79	$282.92	$461.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.30 / $285.17 / $461.52	Facility		$220.30	$285.17	$461.52
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $179.89 / $179.89 / $382.43	Facility	62	$179.89	$179.89	$382.43
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $97.90 / $97.90 / $97.90	Facility	80	$97.90	$97.90	$97.90
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $28.78 / $28.78 / $83.22	Facility	AS	$28.78	$28.78	$83.22
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $3,695.00	Facility		$161.00	$950.00	$3,695.00