Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $2,817.00 / $9,897.00	Facility		$524.00	$2,817.00	$9,897.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $227.46 / $359.37 / $468.02	Facility	54	$227.46	$359.37	$468.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.72 / $731.19 / $1,609.55	Facility		$441.72	$731.19	$1,609.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $153.22 / $153.22 / $546.91	Facility		$153.22	$153.22	$546.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,206.19 / $26,542.00 / $26,542.00	Facility		$2,206.19	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,031.06 / $1,147.58 / $1,147.58	Facility	54	$1,031.06	$1,147.58	$1,147.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $298.12 / $445.71 / $652.74	Facility		$298.12	$445.71	$652.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $298.12 / $445.71 / $676.83	Facility		$298.12	$445.71	$676.83
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,290.00	Facility		$161.00	$950.00	$2,290.00