Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,162.28 / $11,481.54	Facility		$707.95	$3,162.28	$11,481.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,023.29 / $3,162.28 / $7,244.36	Facility	50	$1,023.29	$3,162.28	$7,244.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $489.78 / $2,137.96	Professional	50	$107.15	$489.78	$2,137.96
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $281.84 / $954.99	Professional	50	$251.19	$281.84	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $7,762.47	Facility		$2,089.30	$3,981.07	$7,762.47
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,454.71 / $4,677.35	Facility		$630.96	$2,454.71	$4,677.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $3,388.44 / $3,388.44	Facility		$380.19	$3,388.44	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $45,708.82 / $45,708.82	Facility		$7,943.28	$45,708.82	$45,708.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $707.95 / $4,677.35	Facility		$407.38	$707.95	$4,677.35
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,258.93 / $3,311.31 / $7,413.10	Facility	50	$1,258.93	$3,311.31	$7,413.10
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $51.29 / $489.78 / $2,137.96	Professional	50	$51.29	$489.78	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $501.19 / $870.96	Facility		$371.54	$501.19	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64