Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,645.25 / $7,542.00	Facility		$652.00	$2,645.25	$7,542.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $111.84 / $117.55 / $174.02	Facility	52	$111.84	$117.55	$174.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,210.97 / $2,382.82 / $4,734.50	Facility		$1,210.97	$2,382.82	$4,734.50
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,538.19 / $4,500.00	Facility		$450.00	$1,538.19	$4,500.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $201.23 / $1,872.65 / $1,872.65	Facility		$201.23	$1,872.65	$1,872.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $935.02 / $1,240.44 / $2,213.00	Facility		$935.02	$1,240.44	$2,213.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $204.01 / $204.01 / $204.01	Facility	52	$204.01	$204.01	$204.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,901.45 / $11,500.00 / $16,394.00	Facility		$4,901.45	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $418.95 / $3,716.72 / $3,716.72	Facility	52	$418.95	$3,716.72	$3,716.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.67 / $326.39 / $546.74	Facility		$223.67	$326.39	$546.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.67 / $332.93 / $583.51	Facility		$223.67	$332.93	$583.51
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $204.01 / $204.01 / $204.01	Facility	52	$204.01	$204.01	$204.01
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00