Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,877.50 / $6,300.00 / $6,300.00	Facility	50	$3,877.50	$6,300.00	$6,300.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,775.00 / $23,919.12 / $48,157.16	Facility		$12,775.00	$23,919.12	$48,157.16
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,267.26 / $24,282.50 / $51,023.52	Facility		$1,267.26	$24,282.50	$51,023.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $739.65 / $22,811.14 / $22,811.14	Facility		$739.65	$22,811.14	$22,811.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.46 / $909.46 / $909.46	Facility		$909.46	$909.46	$909.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.07 / $90.07 / $90.07	Facility	AS	$90.07	$90.07	$90.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $86,081.45	Facility		$55.00	$55.00	$86,081.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $181.55 / $8,159.30 / $8,159.30	Facility	AS	$181.55	$8,159.30	$8,159.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $704.84 / $882.59 / $1,524.38	Facility		$704.84	$882.59	$1,524.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.75 / $904.03 / $1,563.31	Facility		$710.75	$904.03	$1,563.31
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $90.07 / $90.07 / $271.49	Facility	AS	$90.07	$90.07	$271.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $20,955.00	Facility		$4,600.00	$9,027.00	$20,955.00