Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.00 / $2,868.00 / $8,780.00	Facility		$638.00	$2,868.00	$8,780.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $761.00 / $1,263.00 / $4,620.00	Facility	50	$761.00	$1,263.00	$4,620.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.91 / $4,493.47 / $9,027.17	Facility		$2,354.91	$4,493.47	$9,027.17
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $817.59 / $1,676.03	Facility		$141.63	$817.59	$1,676.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $122.08 / $150.10	Facility		$122.08	$122.08	$150.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,311.50 / $2,311.50 / $2,311.50	Facility		$2,311.50	$2,311.50	$2,311.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,133.70 / $26,542.00 / $26,542.00	Facility		$9,133.70	$26,542.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.04 / $263.42 / $505.29	Facility		$177.04	$263.42	$505.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.04 / $265.02 / $505.29	Facility		$177.04	$265.02	$505.29
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