Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.88 / $2,017.00 / $6,386.00	Facility		$333.88	$2,017.00	$6,386.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.67 / $79.18 / $166.77	Facility	53	$31.67	$79.18	$166.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $679.85 / $1,199.29 / $2,589.55	Facility		$679.85	$1,199.29	$2,589.55
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $439.56 / $923.65 / $2,676.06	Facility		$439.56	$923.65	$2,676.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $1,067.89 / $1,067.89	Facility		$138.33	$1,067.89	$1,067.89
Christus Facility/Professional Facility Modifier 53 Low / Median / High Price $69.48 / $69.48 / $170.79	Facility	53	$69.48	$69.48	$170.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.61 / $702.60 / $1,652.00	Facility		$529.61	$702.60	$1,652.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $878.90 / $11,500.00 / $12,000.00	Facility		$878.90	$11,500.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $140.78 / $151.40 / $151.40	Facility	53	$140.78	$151.40	$151.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.55 / $320.91 / $584.09	Facility		$157.55	$320.91	$584.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.55 / $323.02 / $609.86	Facility		$157.55	$323.02	$609.86
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
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