Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.92 / $1,839.00 / $6,762.00	Facility		$227.92	$1,839.00	$6,762.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $47.82 / $73.98 / $742.28	Facility	52	$47.82	$73.98	$742.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $4,828.00 / $7,341.00	Facility		$1,845.00	$4,828.00	$7,341.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $94.52 / $2,600.00 / $8,000.00	Facility		$94.52	$2,600.00	$8,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $84.26 / $93.08 / $93.08	Facility		$84.26	$93.08	$93.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $455.15	Facility		$55.00	$55.00	$455.15
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $341.53 / $364.12 / $364.12	Facility	52	$341.53	$364.12	$364.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.63 / $828.11 / $2,071.55	Facility		$95.63	$828.11	$2,071.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.63 / $836.77 / $2,109.25	Facility		$95.63	$836.77	$2,109.25
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00