Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,420.00 / $11,051.28	Facility		$714.00	$3,420.00	$11,051.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,776.96 / $7,217.92 / $13,616.36	Facility	50	$2,776.96	$7,217.92	$13,616.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,722.33 / $3,076.97 / $6,192.64	Facility		$1,722.33	$3,076.97	$6,192.64
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $2,570.41 / $7,658.88	Facility		$816.00	$2,570.41	$7,658.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $382.23 / $1,803.25 / $1,803.25	Facility		$382.23	$1,803.25	$1,803.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $26,542.00 / $26,542.00	Facility		$5,819.45	$26,542.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $461.23 / $649.22 / $1,224.50	Facility		$461.23	$649.22	$1,224.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.95 / $656.51 / $1,263.04	Facility		$460.95	$656.51	$1,263.04
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