Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.14 / $3,186.83 / $9,024.21	Facility		$853.14	$3,186.83	$9,024.21
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,318.03 / $1,318.03 / $1,318.03	Facility	22	$1,318.03	$1,318.03	$1,318.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,298.64 / $3,248.25 / $7,976.65	Facility	50	$1,298.64	$3,248.25	$7,976.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,137.46 / $8,170.17 / $15,607.12	Facility		$4,137.46	$8,170.17	$15,607.12
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $831.60 / $4,694.20 / $10,058.87	Facility		$831.60	$4,694.20	$10,058.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $892.73 / $5,871.13 / $5,871.13	Facility		$892.73	$5,871.13	$5,871.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,850.42 / $3,850.42 / $3,850.42	Facility		$3,850.42	$3,850.42	$3,850.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $212.10 / $1,442.13 / $1,442.13	Facility	AS	$212.10	$1,442.13	$1,442.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $890.42 / $1,158.14 / $2,115.59	Facility		$890.42	$1,158.14	$2,115.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $890.42 / $1,188.14 / $2,165.48	Facility		$890.42	$1,188.14	$2,165.48
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $367.58 / $367.58 / $367.58	Facility	80	$367.58	$367.58	$367.58
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $312.44 / $312.44 / $312.44	Facility	AS	$312.44	$312.44	$312.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00