Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $2,783.00 / $7,542.00	Facility		$714.00	$2,783.00	$7,542.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $474.69 / $525.07 / $868.02	Facility	54	$474.69	$525.07	$868.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,260.51 / $2,155.07 / $4,427.80	Facility		$1,260.51	$2,155.07	$4,427.80
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,818.56 / $1,818.56 / $2,626.46	Facility		$1,818.56	$1,818.56	$2,626.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $732.78 / $1,984.11 / $1,984.11	Facility		$732.78	$1,984.11	$1,984.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $859.66 / $859.66 / $859.66	Facility		$859.66	$859.66	$859.66
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $596.32 / $596.32 / $596.32	Facility	54	$596.32	$596.32	$596.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,542.30 / $11,500.00 / $16,394.00	Facility		$3,542.30	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,197.45 / $3,154.80 / $3,154.80	Facility	54	$1,197.45	$3,154.80	$3,154.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $954.74 / $1,524.55	Facility		$737.82	$954.74	$1,524.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $957.39 / $1,547.53	Facility		$737.82	$957.39	$1,547.53
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $596.32 / $596.32 / $1,451.82	Facility	54	$596.32	$596.32	$1,451.82
United Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $2,193.00 / $4,509.00	Facility		$603.00	$2,193.00	$4,509.00