Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,504.00 / $10,836.00	Facility		$828.00	$3,504.00	$10,836.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,572.50 / $3,515.00 / $7,812.50	Facility	50	$2,572.50	$3,515.00	$7,812.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,258.35 / $6,559.01 / $12,314.01	Facility		$3,258.35	$6,559.01	$12,314.01
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $403.06 / $2,041.20 / $6,390.41	Facility		$403.06	$2,041.20	$6,390.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $361.23 / $4,414.89 / $4,414.89	Facility		$361.23	$4,414.89	$4,414.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,619.61 / $3,619.61 / $3,619.61	Facility		$3,619.61	$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 $407.48 / $533.84 / $953.37	Facility		$407.48	$533.84	$953.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.48 / $534.04 / $1,064.40	Facility		$407.48	$534.04	$1,064.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00