Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $2,290.00 / $7,542.00	Facility		$524.00	$2,290.00	$7,542.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $314.66 / $345.53 / $571.91	Facility	54	$314.66	$345.53	$571.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,214.95 / $2,155.07 / $4,838.74	Facility		$1,214.95	$2,155.07	$4,838.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $477.04 / $482.53	Facility		$80.00	$477.04	$482.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.54 / $566.54 / $566.54	Facility		$566.54	$566.54	$566.54
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $394.33 / $394.33 / $394.33	Facility	54	$394.33	$394.33	$394.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,869.04 / $11,500.00 / $12,000.00	Facility		$1,869.04	$11,500.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $799.67 / $3,154.80 / $3,154.80	Facility	54	$799.67	$3,154.80	$3,154.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $465.08 / $579.09 / $918.13	Facility		$465.08	$579.09	$918.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $466.94 / $590.07 / $955.92	Facility		$466.94	$590.07	$955.92
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $394.33 / $394.33 / $953.32	Facility	54	$394.33	$394.33	$953.32
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00