Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,527.00 / $11,453.00	Facility		$803.00	$3,527.00	$11,453.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,118.33 / $4,600.50 / $11,972.48	Facility	50	$1,118.33	$4,600.50	$11,972.48
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 $748.00 / $2,964.60 / $8,701.95	Facility		$748.00	$2,964.60	$8,701.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $369.01 / $5,422.29 / $5,422.29	Facility		$369.01	$5,422.29	$5,422.29
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 $426.51 / $503.59 / $984.06	Facility		$426.51	$503.59	$984.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.51 / $504.82 / $1,136.98	Facility		$426.51	$504.82	$1,136.98
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