Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $10,893.00	Facility		$945.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.76 / $1,157.75 / $1,377.66	Professional		$726.76	$1,157.75	$1,377.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.04 / $2,140.46 / $11,106.00	Facility		$1,081.04	$2,140.46	$11,106.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $212.16 / $1,060.81	Professional		$212.16	$212.16	$1,060.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,961.57 / $8,991.50 / $9,284.10	Facility		$6,961.57	$8,991.50	$9,284.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,248.35 / $9,248.35 / $9,308.54	Professional		$9,248.35	$9,248.35	$9,308.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $929.08 / $1,157.75 / $2,359.42	Facility		$929.08	$1,157.75	$2,359.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $916.72 / $916.72 / $1,063.08	Professional		$916.72	$916.72	$1,063.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $929.86 / $1,180.91 / $2,359.42	Facility		$929.86	$1,180.91	$2,359.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,063.08 / $1,063.08 / $1,063.08	Professional		$1,063.08	$1,063.08	$1,063.08
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $942.31 / $1,236.78 / $2,002.41	Professional		$942.31	$1,236.78	$2,002.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $635.53 / $635.53 / $635.53	Professional		$635.53	$635.53	$635.53