Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,893.00	Facility		$969.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.44 / $1,866.04 / $3,006.37	Professional		$1,314.44	$1,866.04	$3,006.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,493.39 / $7,244.49 / $11,791.03	Facility		$2,493.39	$7,244.49	$11,791.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,710.25 / $6,710.25 / $8,387.81	Professional		$6,710.25	$6,710.25	$8,387.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,718.79 / $10,669.36 / $14,590.64	Facility		$8,718.79	$10,669.36	$14,590.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,582.87 / $11,582.87 / $11,582.87	Professional		$11,582.87	$11,582.87	$11,582.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $546.27 / $1,793.81 / $3,802.88	Facility		$546.27	$1,793.81	$3,802.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $533.44 / $537.16 / $1,354.81	Professional		$533.44	$537.16	$1,354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.79 / $1,793.81 / $5,296.57	Facility		$572.79	$1,793.81	$5,296.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.16 / $553.83 / $1,354.81	Professional		$537.16	$553.83	$1,354.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,581.12 / $2,188.30 / $3,386.66	Professional		$1,581.12	$2,188.30	$3,386.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $533.44 / $572.79 / $1,893.98	Professional		$533.44	$572.79	$1,893.98