Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.25 / $2,124.00 / $6,762.00	Facility		$473.25	$2,124.00	$6,762.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $243.17 / $266.87 / $453.24	Facility	54	$243.17	$266.87	$453.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.08 / $353.65 / $769.83	Facility		$194.08	$353.65	$769.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $222.21 / $222.21 / $438.57	Facility		$222.21	$222.21	$438.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.73 / $449.73 / $449.73	Facility		$449.73	$449.73	$449.73
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $313.17 / $313.17 / $313.17	Facility	54	$313.17	$313.17	$313.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,018.73 / $11,500.00 / $12,000.00	Facility		$1,018.73	$11,500.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $634.72 / $1,281.15 / $1,422.00	Facility	54	$634.72	$1,281.15	$1,422.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.05 / $435.51 / $696.19	Facility		$344.05	$435.51	$696.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.05 / $438.15 / $711.94	Facility		$344.05	$438.15	$711.94
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $313.17 / $313.17 / $736.19	Facility	54	$313.17	$313.17	$736.19
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00