Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.00 / $3,213.00 / $10,893.00	Facility		$867.00	$3,213.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,366.70 / $2,262.15 / $5,042.35	Professional		$1,366.70	$2,262.15	$5,042.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,620.37 / $15,358.14 / $33,398.22	Facility		$8,620.37	$15,358.14	$33,398.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,810.98 / $35,303.44 / $43,196.51	Facility		$26,810.98	$35,303.44	$43,196.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,827.90 / $38,798.24 / $46,488.45	Professional		$27,827.90	$38,798.24	$46,488.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $595.46 / $2,451.01 / $8,880.52	Facility		$595.46	$2,451.01	$8,880.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $551.59 / $3,904.23 / $13,222.00	Professional		$551.59	$3,904.23	$13,222.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.19 / $2,451.01 / $8,727.93	Facility		$607.19	$2,451.01	$8,727.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,904.23 / $3,904.23 / $3,904.23	Professional		$3,904.23	$3,904.23	$3,904.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,014.01 / $1,401.52 / $2,357.02	Professional		$1,014.01	$1,401.52	$2,357.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,075.83 / $7,486.43 / $10,728.92	Professional		$2,075.83	$7,486.43	$10,728.92