Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,211.00 / $6,000.00	Facility		$569.00	$2,211.00	$6,000.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $296.43 / $363.98 / $560.10	Facility	54	$296.43	$363.98	$560.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.42 / $2,141.52 / $4,350.80	Facility		$1,111.42	$2,141.52	$4,350.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $453.49 / $1,550.84 / $2,068.52	Facility		$453.49	$1,550.84	$2,068.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $494.47 / $586.25 / $586.25	Facility		$494.47	$586.25	$586.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $801.14 / $801.14 / $801.14	Facility		$801.14	$801.14	$801.14
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $560.79 / $560.79 / $560.79	Facility	54	$560.79	$560.79	$560.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.16 / $11,500.00 / $16,394.00	Facility		$2,238.16	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,534.41 / $1,700.44 / $1,700.44	Facility	54	$1,534.41	$1,700.44	$1,700.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.49 / $615.75 / $955.96	Facility		$467.49	$615.75	$955.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.49 / $617.99 / $974.29	Facility		$467.49	$617.99	$974.29
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $560.79 / $560.79 / $1,003.43	Facility	54	$560.79	$560.79	$1,003.43
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,405.00	Facility		$161.00	$949.00	$2,405.00