Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,682.00 / $12,281.00	Facility		$935.00	$3,682.00	$12,281.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,142.50 / $5,497.50 / $5,701.50	Facility	50	$3,142.50	$5,497.50	$5,701.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,658.00 / $4,846.93 / $9,381.18	Facility		$2,658.00	$4,846.93	$9,381.18
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $779.10 / $2,849.85 / $3,960.00	Facility		$779.10	$2,849.85	$3,960.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $685.60 / $3,144.21 / $3,144.21	Facility		$685.60	$3,144.21	$3,144.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,953.70 / $1,953.70 / $2,017.56	Facility		$1,953.70	$1,953.70	$2,017.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $26,542.00 / $26,542.00	Facility		$9,001.70	$26,542.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $749.19 / $937.07 / $1,433.03	Facility		$749.19	$937.07	$1,433.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $749.19 / $955.44 / $1,552.85	Facility		$749.19	$955.44	$1,552.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00