Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $4,778.00 / $19,760.00	Facility		$1,068.00	$4,778.00	$19,760.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.20 / $295.86 / $367.25	Facility	52	$237.20	$295.86	$367.25
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $94.88 / $118.34 / $9,901.95	Facility	53	$94.88	$118.34	$9,901.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,459.41 / $18,925.20 / $40,822.94	Facility		$9,459.41	$18,925.20	$40,822.94
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $627.99 / $13,238.61 / $32,619.34	Facility		$627.99	$13,238.61	$32,619.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $622.66 / $9,231.89 / $9,231.89	Facility		$622.66	$9,231.89	$9,231.89
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 $5,385.96 / $31,754.00 / $31,754.00	Facility		$5,385.96	$31,754.00	$31,754.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,144.57 / $25,403.20 / $25,403.20	Facility	52	$1,144.57	$25,403.20	$25,403.20
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $286.14 / $6,350.80 / $6,350.80	Facility	53	$286.14	$6,350.80	$6,350.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $591.72 / $732.30 / $1,346.51	Facility		$591.72	$732.30	$1,346.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $593.29 / $811.25 / $24,270.00	Facility		$593.29	$811.25	$24,270.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $9,280.00 / $30,675.00	Facility		$2,614.00	$9,280.00	$30,675.00