Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,934.00 / $12,941.00	Facility		$969.00	$3,934.00	$12,941.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,936.16 / $2,936.16 / $9,402.00	Facility	50	$2,936.16	$2,936.16	$9,402.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,596.88 / $6,643.64 / $13,371.92	Facility		$3,596.88	$6,643.64	$13,371.92
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $2,332.48 / $7,769.72	Facility		$504.00	$2,332.48	$7,769.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $339.18 / $5,119.75 / $5,119.75	Facility		$339.18	$5,119.75	$5,119.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $3,619.61 / $3,619.61	Facility		$3,500.00	$3,619.61	$3,619.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $537.66 / $1,067.21	Facility		$383.07	$537.66	$1,067.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $553.16 / $1,067.21	Facility		$383.07	$553.16	$1,067.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,002.00 / $13,134.00	Facility		$2,093.00	$6,002.00	$13,134.00