Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.25 / $2,816.00 / $8,590.00	Facility		$681.25	$2,816.00	$8,590.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,029.50 / $3,301.00 / $8,925.95	Facility	50	$1,029.50	$3,301.00	$8,925.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,699.32 / $12,447.41 / $24,601.14	Facility		$6,699.32	$12,447.41	$24,601.14
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $5,872.64 / $24,921.49	Facility		$408.00	$5,872.64	$24,921.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $676.82 / $7,843.21 / $7,843.21	Facility		$676.82	$7,843.21	$7,843.21
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 $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 $173.77 / $1,706.64 / $1,706.64	Facility	AS	$173.77	$1,706.64	$1,706.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $713.60 / $1,057.81 / $1,945.67	Facility		$713.60	$1,057.81	$1,945.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.60 / $1,076.93 / $2,023.11	Facility		$713.60	$1,076.93	$2,023.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $245.94 / $245.94 / $245.94	Facility	AS	$245.94	$245.94	$245.94
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