Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,128.00 / $6,691.00	Facility		$425.00	$2,128.00	$6,691.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.74 / $218.16 / $865.37	Facility		$124.74	$218.16	$865.37
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $42.91 / $68.81 / $2,534.52	Facility		$42.91	$68.81	$2,534.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $52.20 / $978.57 / $978.57	Facility		$52.20	$978.57	$978.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.99 / $213.58 / $2,530.00	Facility		$160.99	$213.58	$2,530.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.89 / $14.89 / $14.89	Facility	53	$14.89	$14.89	$14.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $302.14 / $302.14 / $947.70	Facility		$302.14	$302.14	$947.70
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $51.47 / $56.59 / $56.59	Facility	53	$51.47	$56.59	$56.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $129.33 / $233.56	Facility		$53.42	$129.33	$233.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $131.10 / $236.94	Facility		$53.42	$131.10	$236.94
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $14.89 / $14.89 / $14.89	Facility	53	$14.89	$14.89	$14.89
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,500.00 / $3,260.00	Facility		$369.00	$1,500.00	$3,260.00