Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.62 / $1,937.00 / $6,762.00	Facility		$155.62	$1,937.00	$6,762.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $58.32 / $82.55 / $119.01	Facility	54	$58.32	$82.55	$119.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.24 / $104.77 / $421.85	Facility		$61.24	$104.77	$421.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $98.28 / $99.13	Facility		$80.00	$98.28	$99.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.71 / $160.71 / $160.71	Facility		$160.71	$160.71	$160.71
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $112.50 / $112.50 / $112.50	Facility	54	$112.50	$112.50	$112.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $482.46	Facility		$55.00	$55.00	$482.46
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $306.24 / $337.72 / $337.72	Facility	54	$306.24	$337.72	$337.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.05 / $125.74 / $195.59	Facility		$92.05	$125.74	$195.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.07 / $126.01 / $201.70	Facility		$92.07	$126.01	$201.70
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $112.50 / $112.50 / $234.47	Facility	54	$112.50	$112.50	$234.47
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00