Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,774.00 / $13,004.00	Facility		$945.00	$3,774.00	$13,004.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $576.84 / $622.62 / $858.02	Facility	54	$576.84	$622.62	$858.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,799.46 / $3,214.76 / $6,692.36	Facility		$1,799.46	$3,214.76	$6,692.36
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $2,246.46 / $6,108.74	Facility		$1,020.00	$2,246.46	$6,108.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $643.33 / $1,950.97 / $1,950.97	Facility		$643.33	$1,950.97	$1,950.97
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 $1,237.44 / $4,569.92 / $4,569.92	Facility	54	$1,237.44	$4,569.92	$4,569.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.58 / $890.55 / $1,577.08	Facility		$691.58	$890.55	$1,577.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $695.12 / $905.15 / $1,709.55	Facility		$695.12	$905.15	$1,709.55
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