Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,378.85 / $5,575.00 / $14,940.80	Facility		$1,378.85	$5,575.00	$14,940.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $311.55 / $318.97 / $503.03	Facility	52	$311.55	$318.97	$503.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,806.76 / $12,619.67 / $25,239.33	Facility		$6,806.76	$12,619.67	$25,239.33
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,267.26 / $3,916.80 / $10,000.00	Facility		$1,267.26	$3,916.80	$10,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $586.39 / $8,049.36 / $8,049.36	Facility		$586.39	$8,049.36	$8,049.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,027.91 / $7,027.91 / $7,027.91	Facility		$7,027.91	$7,027.91	$7,027.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,131.00 / $26,542.00 / $27,770.10	Facility		$12,131.00	$26,542.00	$27,770.10
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,206.83 / $21,057.68 / $21,057.68	Facility	52	$1,206.83	$21,057.68	$21,057.68
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $150.85 / $2,632.21 / $2,632.21	Facility	AS	$150.85	$2,632.21	$2,632.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $640.85 / $999.15 / $1,652.37	Facility		$640.85	$999.15	$1,652.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $640.85 / $1,027.08 / $1,759.32	Facility		$640.85	$1,027.08	$1,759.32
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $249.51 / $249.51 / $249.51	Facility	80	$249.51	$249.51	$249.51
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $212.08 / $212.08 / $212.08	Facility	AS	$212.08	$212.08	$212.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,350.00 / $16,000.00	Facility		$2,608.00	$7,350.00	$16,000.00