Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.09 / $2,872.00 / $8,883.00	Facility		$622.09	$2,872.00	$8,883.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,060.50 / $3,209.39 / $7,460.03	Facility	50	$1,060.50	$3,209.39	$7,460.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $233.45 / $233.45 / $868.86	Professional	50	$233.45	$233.45	$868.86
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $745.18 / $745.18 / $745.18	Professional	50	$745.18	$745.18	$745.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,023.14 / $3,955.13 / $7,586.76	Facility		$2,023.14	$3,955.13	$7,586.76
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $2,742.92 / $5,996.04 / $25,438.08	Facility		$2,742.92	$5,996.04	$25,438.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $379.99 / $3,686.91 / $3,686.91	Facility		$379.99	$3,686.91	$3,686.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.65 / $2,001.65 / $2,001.65	Facility		$2,001.65	$2,001.65	$2,001.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $26,542.00 / $26,542.00	Facility		$7,909.30	$26,542.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $385.04 / $485.77 / $841.96	Facility		$385.04	$485.77	$841.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $385.04 / $489.69 / $897.82	Facility		$385.04	$489.69	$897.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00