Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,496.00 / $7,078.00	Facility		$649.00	$2,496.00	$7,078.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $830.24 / $830.24 / $1,897.95	Facility	50	$830.24	$830.24	$1,897.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,018.00 / $2,463.01 / $4,501.92	Facility		$1,018.00	$2,463.01	$4,501.92
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $1,493.97 / $2,042.11	Facility		$150.33	$1,493.97	$2,042.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $140.56 / $211.61 / $211.61	Facility		$140.56	$211.61	$211.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,187.85	Facility		$55.00	$55.00	$3,187.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.53 / $200.05 / $346.11	Facility		$148.53	$200.05	$346.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.53 / $202.54 / $393.01	Facility		$148.53	$202.54	$393.01
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,287.00	Facility		$369.00	$1,529.00	$3,287.00