Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.54 / $2,825.00 / $7,542.00	Facility		$709.54	$2,825.00	$7,542.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $473.09 / $522.52 / $858.18	Facility	54	$473.09	$522.52	$858.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.30 / $2,155.07 / $4,427.80	Facility		$1,206.30	$2,155.07	$4,427.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $699.97 / $714.56	Facility		$80.00	$699.97	$714.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.66 / $852.66 / $852.66	Facility		$852.66	$852.66	$852.66
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $592.41 / $592.41 / $592.41	Facility	54	$592.41	$592.41	$592.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,502.45 / $11,500.00 / $16,394.00	Facility		$3,502.45	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,186.24 / $3,154.80 / $3,154.80	Facility	54	$1,186.24	$3,154.80	$3,154.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $709.54 / $912.70 / $1,417.62	Facility		$709.54	$912.70	$1,417.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $715.15 / $925.40 / $1,506.20	Facility		$715.15	$925.40	$1,506.20
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $592.41 / $592.41 / $1,444.11	Facility	54	$592.41	$592.41	$1,444.11
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,513.00 / $3,260.00	Facility		$374.00	$1,513.00	$3,260.00