Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.11 / $2,156.79 / $7,542.00	Facility		$294.11	$2,156.79	$7,542.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $413.00 / $5,679.96 / $12,090.68	Facility	50	$413.00	$5,679.96	$12,090.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.88 / $178.32 / $897.15	Professional	50	$98.88	$178.32	$897.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $158.81 / $175.88 / $332.99	Professional	50	$158.81	$175.88	$332.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $9,564.00 / $14,543.00	Facility		$1,845.00	$9,564.00	$14,543.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $8,000.00 / $8,000.00 / $8,000.00	Facility		$8,000.00	$8,000.00	$8,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $105.70 / $105.70 / $282.38	Facility		$105.70	$105.70	$282.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $546.48 / $564.67	Facility		$55.00	$546.48	$564.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.21 / $226.16 / $378.51	Facility		$115.21	$226.16	$378.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $228.28 / $392.18	Facility		$115.27	$228.28	$392.18
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,376.00	Facility		$161.00	$952.00	$2,376.00