Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,172.00 / $6,762.00	Facility		$521.00	$2,172.00	$6,762.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $261.07 / $285.89 / $475.22	Facility	54	$261.07	$285.89	$475.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,214.95 / $2,155.07 / $4,337.25	Facility		$1,214.95	$2,155.07	$4,337.25
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $398.64 / $1,550.84 / $4,100.00	Facility		$398.64	$1,550.84	$4,100.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $406.16 / $408.96	Facility		$80.00	$406.16	$408.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.05 / $472.05 / $472.05	Facility		$472.05	$472.05	$472.05
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $328.83 / $328.83 / $328.83	Facility	54	$328.83	$328.83	$328.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,944.95 / $11,500.00 / $12,000.00	Facility		$1,944.95	$11,500.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $667.32 / $3,154.80 / $3,154.80	Facility	54	$667.32	$3,154.80	$3,154.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $372.21 / $461.76 / $731.73	Facility		$372.21	$461.76	$731.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.21 / $464.20 / $769.10	Facility		$372.21	$464.20	$769.10
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $328.83 / $328.83 / $788.22	Facility	54	$328.83	$328.83	$788.22
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,193.00 / $4,509.00	Facility		$600.00	$2,193.00	$4,509.00