Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,121.00 / $13,401.00	Facility		$921.00	$4,121.00	$13,401.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,840.00 / $4,497.00 / $11,608.50	Facility	50	$3,840.00	$4,497.00	$11,608.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,345.74 / $12,203.34 / $24,601.14	Facility		$6,345.74	$12,203.34	$24,601.14
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,071.20 / $5,076.00 / $18,625.59	Facility		$1,071.20	$5,076.00	$18,625.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $550.91 / $12,215.04 / $12,215.04	Facility		$550.91	$12,215.04	$12,215.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,556.66 / $4,556.66 / $4,556.66	Facility		$4,556.66	$4,556.66	$4,556.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,131.00 / $26,542.00 / $26,542.00	Facility		$12,131.00	$26,542.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $576.51 / $787.14 / $1,360.09	Facility		$576.51	$787.14	$1,360.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $576.51 / $820.17 / $1,443.66	Facility		$576.51	$820.17	$1,443.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,184.00 / $21,607.00	Facility		$2,608.00	$7,184.00	$21,607.00