Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.44 / $1,978.00 / $6,691.00	Facility		$138.44	$1,978.00	$6,691.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $33.29 / $51.45 / $83.31	Facility	52	$33.29	$51.45	$83.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $9,704.00 / $14,754.00	Facility		$1,845.00	$9,704.00	$14,754.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $1,416.72 / $8,000.00	Facility		$65.75	$1,416.72	$8,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $59.17 / $59.17 / $59.17	Facility		$59.17	$59.17	$59.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $522.83	Facility		$55.00	$55.00	$522.83
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $237.37 / $253.46 / $253.46	Facility	52	$237.37	$253.46	$253.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $119.53 / $222.76	Facility		$64.56	$119.53	$222.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $119.53 / $269.19	Facility		$64.56	$119.53	$269.19
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,058.00 / $2,668.00	Facility		$161.00	$1,058.00	$2,668.00