Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,682.00 / $12,040.00	Facility		$983.00	$3,682.00	$12,040.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,753.50 / $9,750.00 / $77,994.59	Facility	50	$1,753.50	$9,750.00	$77,994.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,451.70 / $8,013.05 / $15,711.87	Facility		$4,451.70	$8,013.05	$15,711.87
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,141.42 / $2,413.35 / $6,326.20	Facility		$1,141.42	$2,413.35	$6,326.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,097.52 / $7,413.21 / $7,413.21	Facility		$1,097.52	$7,413.21	$7,413.21
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 $55.00 / $5,897.00 / $15,214.55	Facility		$55.00	$5,897.00	$15,214.55
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $260.87 / $1,442.13 / $1,442.13	Facility	AS	$260.87	$1,442.13	$1,442.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,094.06 / $1,402.46 / $2,639.26	Facility		$1,094.06	$1,402.46	$2,639.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,094.06 / $1,458.56 / $2,706.66	Facility		$1,094.06	$1,458.56	$2,706.66
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $453.41 / $453.41 / $453.41	Facility	80	$453.41	$453.41	$453.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $385.40 / $385.40 / $385.40	Facility	AS	$385.40	$385.40	$385.40
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