Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.00 / $2,550.00 / $7,495.00	Facility		$569.00	$2,550.00	$7,495.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $255.32 / $303.99 / $484.95	Facility	54	$255.32	$303.99	$484.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,141.52 / $4,350.80	Facility		$1,100.00	$2,141.52	$4,350.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $403.47 / $406.03	Facility		$80.00	$403.47	$406.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.75 / $691.75 / $691.75	Facility		$691.75	$691.75	$691.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $484.22 / $484.22 / $484.22	Facility	54	$484.22	$484.22	$484.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,372.69 / $11,500.00 / $16,394.00	Facility		$2,372.69	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,330.94 / $1,485.25 / $1,485.25	Facility	54	$1,330.94	$1,485.25	$1,485.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $379.51 / $499.68 / $781.97	Facility		$379.51	$499.68	$781.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.58 / $504.12 / $811.19	Facility		$380.58	$504.12	$811.19
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $484.22 / $484.22 / $837.69	Facility	54	$484.22	$484.22	$837.69
United Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $1,527.00 / $3,287.00	Facility		$383.00	$1,527.00	$3,287.00