Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.25 / $3,563.00 / $9,927.00	Facility		$807.25	$3,563.00	$9,927.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $124.69 / $131.00 / $196.00	Facility	52	$124.69	$131.00	$196.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,008.02 / $3,928.93 / $7,696.71	Facility		$2,008.02	$3,928.93	$7,696.71
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $3,045.18 / $7,151.56	Facility		$1,008.00	$3,045.18	$7,151.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $225.77 / $3,275.99 / $3,275.99	Facility		$225.77	$3,275.99	$3,275.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.82 / $2,001.65 / $3,125.00	Facility		$1,508.82	$2,001.65	$3,125.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $232.05 / $232.05 / $232.05	Facility	52	$232.05	$232.05	$232.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $11,500.00 / $26,542.00	Facility		$7,909.30	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $475.39 / $5,997.52 / $5,997.52	Facility	52	$475.39	$5,997.52	$5,997.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $248.80 / $318.50 / $550.86	Facility		$248.80	$318.50	$550.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $3,320.28 / $5,741.85	Facility		$1,820.00	$3,320.28	$5,741.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.37 / $326.58 / $589.48	Facility		$249.37	$326.58	$589.48
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $232.05 / $232.05 / $232.05	Facility	52	$232.05	$232.05	$232.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $3,239.00 / $7,600.00	Facility		$1,190.00	$3,239.00	$7,600.00