Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.70 / $2,181.00 / $7,542.00	Facility		$626.70	$2,181.00	$7,542.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $425.70 / $470.03 / $784.86	Facility	54	$425.70	$470.03	$784.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.45 / $2,141.52 / $4,277.00	Facility		$1,096.45	$2,141.52	$4,277.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $654.65 / $666.88	Facility		$80.00	$654.65	$666.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.31 / $778.31 / $778.31	Facility		$778.31	$778.31	$778.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $541.79 / $541.79 / $541.79	Facility	54	$541.79	$541.79	$541.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,205.00 / $11,500.00 / $12,000.00	Facility		$3,205.00	$11,500.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,086.08 / $3,154.80 / $3,154.80	Facility	54	$1,086.08	$3,154.80	$3,154.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $667.13 / $850.27 / $1,305.10	Facility		$667.13	$850.27	$1,305.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $667.13 / $851.62 / $1,377.60	Facility		$667.13	$851.62	$1,377.60
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $541.79 / $541.79 / $1,298.94	Facility	54	$541.79	$541.79	$1,298.94
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00