Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $1,992.00 / $7,513.00	Facility		$428.00	$1,992.00	$7,513.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $258.19 / $313.69 / $490.93	Facility	54	$258.19	$313.69	$490.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,141.52 / $4,277.00	Facility		$1,100.00	$2,141.52	$4,277.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $427.88 / $429.90	Facility		$80.00	$427.88	$429.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $699.73 / $699.73 / $699.73	Facility		$699.73	$699.73	$699.73
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $489.81 / $489.81 / $489.81	Facility	54	$489.81	$489.81	$489.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,968.96 / $11,500.00 / $12,000.00	Facility		$1,968.96	$11,500.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,347.91 / $1,508.05 / $1,508.05	Facility	54	$1,347.91	$1,508.05	$1,508.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $386.61 / $509.69 / $793.02	Facility		$386.61	$509.69	$793.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.34 / $515.72 / $826.26	Facility		$387.34	$515.72	$826.26
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $489.81 / $489.81 / $864.02	Facility	54	$489.81	$489.81	$864.02
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00