Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $5,007.00 / $20,855.00	Facility		$983.00	$5,007.00	$20,855.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $189.82 / $236.64 / $294.13	Facility	52	$189.82	$236.64	$294.13
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $75.93 / $94.66 / $117.65	Facility	53	$75.93	$94.66	$117.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,085.00 / $9,907.82 / $20,594.25	Facility		$5,085.00	$9,907.82	$20,594.25
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $6,241.57 / $15,155.32 / $24,638.42	Facility		$6,241.57	$15,155.32	$24,638.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $379.89 / $5,551.93 / $5,551.93	Facility		$379.89	$5,551.93	$5,551.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,475.00 / $19,085.00 / $36,562.00	Facility		$12,475.00	$19,085.00	$36,562.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,313.88 / $31,754.00 / $31,754.00	Facility		$4,313.88	$31,754.00	$31,754.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $916.51 / $25,403.20 / $25,403.20	Facility	52	$916.51	$25,403.20	$25,403.20
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $229.13 / $6,350.80 / $6,350.80	Facility	53	$229.13	$6,350.80	$6,350.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $473.28 / $585.96 / $1,077.54	Facility		$473.28	$585.96	$1,077.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $474.72 / $652.26 / $24,270.00	Facility		$474.72	$652.26	$24,270.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $9,159.00 / $24,402.00	Facility		$2,608.00	$9,159.00	$24,402.00