Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,504.00 / $10,893.00	Facility		$657.00	$3,504.00	$10,893.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,879.50 / $1,879.50 / $1,879.50	Facility	50	$1,879.50	$1,879.50	$1,879.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $712.51 / $1,299.28 / $2,877.35	Facility		$712.51	$1,299.28	$2,877.35
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $29.89 / $486.69 / $562.74	Facility		$29.89	$486.69	$562.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $67.26 / $83.93 / $83.93	Facility		$67.26	$83.93	$83.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.08 / $83.08 / $83.08	Facility		$83.08	$83.08	$83.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,450.60	Facility		$55.00	$55.00	$3,450.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.67 / $101.91 / $209.67	Facility		$67.67	$101.91	$209.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.67 / $101.91 / $209.37	Facility		$67.67	$101.91	$209.37
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00