Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,514.00 / $7,078.00	Facility		$569.00	$2,514.00	$7,078.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $68.48 / $72.20 / $106.89	Facility	52	$68.48	$72.20	$106.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,141.91 / $2,351.67 / $4,656.63	Facility		$1,141.91	$2,351.67	$4,656.63
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,598.68 / $3,720.97	Facility		$545.00	$1,598.68	$3,720.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $124.75 / $124.75 / $126.60	Facility		$124.75	$124.75	$126.60
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 $125.57 / $125.57 / $125.57	Facility	52	$125.57	$125.57	$125.57
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 $256.45 / $3,716.72 / $3,716.72	Facility	52	$256.45	$3,716.72	$3,716.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $180.23 / $328.17	Facility		$136.94	$180.23	$328.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $182.55 / $388.72	Facility		$136.94	$182.55	$388.72
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $125.57 / $125.57 / $125.57	Facility	52	$125.57	$125.57	$125.57
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