Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,818.38 / $6,165.95	Facility		$741.31	$2,818.38	$6,165.95
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,202.26 / $1,202.26 / $1,288.25	Facility	52	$1,202.26	$1,202.26	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,454.71 / $4,677.35	Facility		$1,258.93	$2,454.71	$4,677.35
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,905.46 / $3,630.78	Facility		$446.68	$1,905.46	$3,630.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,412.54 / $1,412.54	Facility		$169.82	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,148.15 / $1,445.44	Facility		$331.13	$1,148.15	$1,445.44
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	52	$263.03	$263.03	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $28,840.32 / $28,840.32	Facility		$4,897.79	$28,840.32	$28,840.32
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	52	$3,890.45	$3,890.45	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $302.00 / $2,570.40	Facility		$186.21	$302.00	$2,570.40
Moda Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,202.26 / $1,202.26 / $1,288.25	Facility	52	$1,202.26	$1,202.26	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $275.42 / $467.74	Facility		$186.21	$275.42	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30