Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.57 / $2,107.00 / $6,762.00	Facility		$315.57	$2,107.00	$6,762.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.82 / $289.95 / $1,161.90	Facility		$156.82	$289.95	$1,161.90
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $83.62 / $83.62 / $214.23	Facility		$83.62	$83.62	$214.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $164.31 / $698.30 / $698.30	Facility		$164.31	$698.30	$698.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,170.96	Facility		$55.00	$55.00	$1,170.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.13 / $277.08 / $434.98	Facility		$161.13	$277.08	$434.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.13 / $278.88 / $438.20	Facility		$161.13	$278.88	$438.20
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,400.00	Facility		$371.00	$1,529.00	$3,400.00