Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $2,124.00 / $7,316.00	Facility		$471.00	$2,124.00	$7,316.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $173.35 / $190.55 / $325.29	Facility	52	$173.35	$190.55	$325.29
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $260.02 / $285.82 / $487.93	Facility	54	$260.02	$285.82	$487.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.41 / $346.75 / $802.18	Facility		$193.41	$346.75	$802.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $323.02 / $323.02 / $477.67	Facility		$323.02	$323.02	$477.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.95 / $483.95 / $483.95	Facility		$483.95	$483.95	$483.95
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $384.75 / $384.75 / $384.75	Facility	52	$384.75	$384.75	$384.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.66 / $336.66 / $336.66	Facility	54	$336.66	$336.66	$336.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,093.46 / $11,500.00 / $12,000.00	Facility		$1,093.46	$11,500.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $778.60 / $1,575.58 / $1,743.33	Facility	52	$778.60	$1,575.58	$1,743.33
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $681.28 / $1,378.64 / $1,525.41	Facility	54	$681.28	$1,378.64	$1,525.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.73 / $492.39 / $753.48	Facility		$389.73	$492.39	$753.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.99 / $492.39 / $789.10	Facility		$389.99	$492.39	$789.10
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $384.75 / $384.75 / $384.75	Facility	52	$384.75	$384.75	$384.75
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $336.66 / $336.66 / $788.86	Facility	54	$336.66	$336.66	$788.86
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00