Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,040.00	Facility		$921.00	$3,682.00	$12,040.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $519.26 / $560.75 / $772.72	Facility	54	$519.26	$560.75	$772.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,718.58 / $3,174.32 / $6,397.23	Facility		$1,718.58	$3,174.32	$6,397.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $577.42 / $1,623.92 / $1,623.92	Facility		$577.42	$1,623.92	$1,623.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.86 / $1,494.86 / $1,543.72	Facility		$1,494.86	$1,494.86	$1,543.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $26,542.00 / $26,542.00	Facility		$6,887.55	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,114.32 / $4,569.92 / $4,569.92	Facility	54	$1,114.32	$4,569.92	$4,569.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $643.92 / $808.30 / $1,461.65	Facility		$643.92	$808.30	$1,461.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $647.97 / $828.86 / $1,595.00	Facility		$647.97	$828.86	$1,595.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00