Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,263.00 / $7,495.00	Facility		$652.00	$2,263.00	$7,495.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $121.89 / $188.20 / $912.21	Facility	52	$121.89	$188.20	$912.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,538.07 / $4,640.32 / $9,398.11	Facility		$2,538.07	$4,640.32	$9,398.11
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,374.33 / $21,983.01	Facility		$1,300.00	$3,374.33	$21,983.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $216.53 / $3,970.57 / $3,970.57	Facility		$216.53	$3,970.57	$3,970.57
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 $55.00 / $55.00 / $2,262.21	Facility		$55.00	$55.00	$2,262.21
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $869.54 / $930.74 / $930.74	Facility	52	$869.54	$930.74	$930.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $236.22 / $959.81 / $2,190.86	Facility		$236.22	$959.81	$2,190.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.22 / $1,017.68 / $2,246.82	Facility		$236.22	$1,017.68	$2,246.82
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