Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $2,398.83	Professional		$707.95	$1,122.02	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $12,302.69	Facility		$1,148.15	$2,398.83	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $1,071.52	Professional		$213.80	$213.80	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,995.26 / $6,918.31	Facility		$954.99	$1,995.26	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,454.71	Professional		$812.83	$1,122.02	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,570.40	Facility		$1,000.00	$1,479.11	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,949.84	Professional		$933.25	$1,230.27	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99