Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.00 / $2,754.00 / $8,590.00	Facility		$589.00	$2,754.00	$8,590.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $19,780.63 / $19,780.63 / $19,780.63	Facility	22	$19,780.63	$19,780.63	$19,780.63
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $723.00 / $1,178.41 / $3,886.89	Facility	50	$723.00	$1,178.41	$3,886.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,917.06 / $8,214.94 / $15,831.45	Facility		$3,917.06	$8,214.94	$15,831.45
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $5,461.00 / $15,520.81	Facility		$408.00	$5,461.00	$15,520.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $313.05 / $6,093.89 / $6,093.89	Facility		$313.05	$6,093.89	$6,093.89
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 $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.81 / $664.16 / $1,066.17	Facility		$368.81	$664.16	$1,066.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,925.41 / $5,190.78 / $7,842.00	Facility		$3,925.41	$5,190.78	$7,842.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.81 / $681.48 / $1,085.72	Facility		$368.81	$681.48	$1,085.72
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