Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,601.00 / $12,281.00	Facility		$803.00	$3,601.00	$12,281.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,433.42 / $4,453.50 / $14,701.52	Facility	50	$1,433.42	$4,453.50	$14,701.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,863.83 / $8,432.56 / $17,024.59	Facility		$4,863.83	$8,432.56	$17,024.59
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $768.83 / $5,815.16	Facility		$3.53	$768.83	$5,815.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $413.78 / $6,828.19 / $6,828.19	Facility		$413.78	$6,828.19	$6,828.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,482.15 / $3,482.15 / $3,482.15	Facility		$3,482.15	$3,482.15	$3,482.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,897.00 / $13,759.35	Facility		$55.00	$5,897.00	$13,759.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.77 / $565.70 / $1,264.83	Facility		$478.77	$565.70	$1,264.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.77 / $565.94 / $1,275.99	Facility		$478.77	$565.94	$1,275.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00