Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $2,785.68 / $7,542.00	Facility		$662.00	$2,785.68	$7,542.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $304.79 / $333.88 / $554.79	Facility	54	$304.79	$333.88	$554.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,217.06 / $2,155.07 / $4,427.80	Facility		$1,217.06	$2,155.07	$4,427.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $465.01 / $468.78	Facility		$80.00	$465.01	$468.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.91 / $550.91 / $550.91	Facility		$550.91	$550.91	$550.91
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $384.68 / $384.68 / $384.68	Facility	54	$384.68	$384.68	$384.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,816.20 / $11,500.00 / $16,394.00	Facility		$1,816.20	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $778.37 / $3,154.80 / $3,154.80	Facility	54	$778.37	$3,154.80	$3,154.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $443.78 / $552.60 / $876.84	Facility		$443.78	$552.60	$876.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.78 / $557.20 / $912.12	Facility		$443.78	$557.20	$912.12
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $384.68 / $384.68 / $920.56	Facility	54	$384.68	$384.68	$920.56
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00