Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.03 / $860.40 / $5,514.46	Facility		$142.03	$860.40	$5,514.46
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $810.75 / $3,104.10 / $6,643.00	Facility	25	$810.75	$3,104.10	$6,643.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $171.64 / $498.33 / $800.95	Professional	25	$171.64	$498.33	$800.95
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $166.53 / $274.77 / $541.21	Professional	25	$166.53	$274.77	$541.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $531.27 / $2,245.07 / $9,040.00	Facility		$531.27	$2,245.07	$9,040.00
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $194.84 / $422.15 / $832.00	Facility		$194.84	$422.15	$832.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $169.53 / $231.35 / $231.35	Facility		$169.53	$231.35	$231.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,209.00 / $1,479.00 / $4,184.00	Facility		$1,209.00	$1,479.00	$4,184.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $233.14 / $790.22 / $830.92	Facility		$233.14	$790.22	$830.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.61 / $206.76 / $514.11	Facility		$161.61	$206.76	$514.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.59 / $205.27 / $513.41	Facility		$161.59	$205.27	$513.41