Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,872.00 / $15,757.00	Facility		$714.00	$3,872.00	$15,757.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $228.09 / $260.77 / $342.91	Facility	52	$228.09	$260.77	$342.91
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $91.24 / $104.31 / $137.16	Facility	53	$91.24	$104.31	$137.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,094.00 / $9,638.11 / $19,134.29	Facility		$3,094.00	$9,638.11	$19,134.29
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $446.32 / $446.32 / $14,300.00	Facility		$446.32	$446.32	$14,300.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $387.17 / $439.05 / $439.05	Facility		$387.17	$439.05	$439.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,008.44 / $16,026.00 / $54,852.40	Facility		$1,008.44	$16,026.00	$54,852.40
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $806.75 / $41,267.12 / $41,267.12	Facility	52	$806.75	$41,267.12	$41,267.12
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $201.69 / $10,316.78 / $10,316.78	Facility	53	$201.69	$10,316.78	$10,316.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.55 / $569.04 / $1,044.42	Facility		$460.55	$569.04	$1,044.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.72 / $588.16 / $1,172.16	Facility		$467.72	$588.16	$1,172.16
United Facility/Professional Facility Modifier Low / Median / High Price $5,552.00 / $11,967.00 / $36,801.00	Facility		$5,552.00	$11,967.00	$36,801.00