Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $3,792.00 / $13,401.00	Facility		$975.00	$3,792.00	$13,401.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $590.26 / $637.17 / $879.41	Facility	54	$590.26	$637.17	$879.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,880.33 / $3,234.98 / $6,692.36	Facility		$1,880.33	$3,234.98	$6,692.36
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $282.22 / $1,051.20 / $1,669.68	Facility		$282.22	$1,051.20	$1,669.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $655.69 / $655.69 / $684.71	Facility		$655.69	$655.69	$684.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.86 / $1,494.86 / $1,543.72	Facility		$1,494.86	$1,494.86	$1,543.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $26,542.00 / $26,542.00	Facility		$6,887.55	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,267.68 / $4,569.92 / $4,569.92	Facility	54	$1,267.68	$4,569.92	$4,569.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $732.84 / $918.96 / $1,642.02	Facility		$732.84	$918.96	$1,642.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $734.07 / $941.74 / $1,761.17	Facility		$734.07	$941.74	$1,761.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00