Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.00 / $3,445.00 / $11,833.72	Facility		$723.00	$3,445.00	$11,833.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $989.00 / $8,626.69 / $15,810.12	Facility	50	$989.00	$8,626.69	$15,810.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $233.93 / $546.29 / $2,744.55	Professional	50	$233.93	$546.29	$2,744.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $485.32 / $634.14 / $1,017.60	Professional	50	$485.32	$634.14	$1,017.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,090.61 / $7,170.06 / $13,926.46	Facility		$4,090.61	$7,170.06	$13,926.46
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,684.40 / $4,101.14 / $7,225.36	Facility		$1,684.40	$4,101.14	$7,225.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $324.04 / $4,688.89 / $4,688.89	Facility		$324.04	$4,688.89	$4,688.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.15 / $626.15 / $626.15	Facility		$626.15	$626.15	$626.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,453.28 / $3,754.30	Facility		$55.00	$2,453.28	$3,754.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $352.83 / $1,555.83 / $3,062.86	Facility		$352.83	$1,555.83	$3,062.86
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $559.98 / $845.04 / $1,119.96	Professional	50	$559.98	$845.04	$1,119.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $353.03 / $1,583.03 / $3,105.35	Facility		$353.03	$1,583.03	$3,105.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,333.00 / $16,000.00	Facility		$2,600.00	$7,333.00	$16,000.00