Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.81 / $2,128.00 / $7,316.00	Facility		$318.81	$2,128.00	$7,316.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $109.49 / $123.23 / $205.52	Facility	54	$109.49	$123.23	$205.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.29 / $342.87 / $769.83	Facility		$191.29	$342.87	$769.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $171.58 / $179.93	Facility		$80.00	$171.58	$179.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.02 / $208.02 / $208.02	Facility		$208.02	$208.02	$208.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $140.13 / $140.13 / $140.13	Facility	54	$140.13	$140.13	$140.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $830.72 / $11,500.00 / $12,000.00	Facility		$830.72	$11,500.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $445.65 / $651.70 / $651.70	Facility	54	$445.65	$651.70	$651.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.12 / $280.17 / $627.07	Facility		$173.12	$280.17	$627.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.12 / $290.17 / $627.07	Facility		$173.12	$290.17	$627.07
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $140.13 / $140.13 / $342.40	Facility	54	$140.13	$140.13	$342.40
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00