Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,236.00 / $7,513.00	Facility		$488.00	$2,236.00	$7,513.00
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 / $2,191.09 / $2,534.52	Facility		$187.00	$2,191.09	$2,534.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $110.70 / $110.70 / $199.72	Facility		$110.70	$110.70	$199.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.63 / $3,603.00 / $6,702.00	Facility		$260.63	$3,603.00	$6,702.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $159.84 / $159.84 / $159.84	Facility	62	$159.84	$159.84	$159.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $25.58 / $25.58 / $25.58	Facility	AS	$25.58	$25.58	$25.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,658.06 / $5,000.00	Facility		$55.00	$3,658.06	$5,000.00
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $308.99 / $650.92 / $676.58	Facility	62	$308.99	$650.92	$676.58
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $49.44 / $104.15 / $108.25	Facility	AS	$49.44	$104.15	$108.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.72 / $240.05 / $384.04	Facility		$175.72	$240.05	$384.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.72 / $240.05 / $388.71	Facility		$175.72	$240.05	$388.71
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $159.84 / $159.84 / $286.07	Facility	62	$159.84	$159.84	$286.07
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $73.23 / $73.23 / $73.23	Facility	80	$73.23	$73.23	$73.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $25.58 / $25.58 / $62.25	Facility	AS	$25.58	$25.58	$62.25
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $3,695.00	Facility		$161.00	$950.00	$3,695.00