Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $12,040.00	Facility		$803.00	$3,611.00	$12,040.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,533.50 / $4,324.50 / $12,434.57	Facility	50	$1,533.50	$4,324.50	$12,434.57
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 / $5,069.04 / $9,100.08	Facility		$748.00	$5,069.04	$9,100.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $391.04 / $6,856.53 / $6,856.53	Facility		$391.04	$6,856.53	$6,856.53
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 $451.30 / $533.09 / $1,042.13	Facility		$451.30	$533.09	$1,042.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $451.30 / $534.41 / $1,203.06	Facility		$451.30	$534.41	$1,203.06
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