Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.00 / $3,445.00 / $10,893.00	Facility		$867.00	$3,445.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.79 / $5,257.98 / $7,327.90	Professional		$648.79	$5,257.98	$7,327.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,459.68 / $15,259.06 / $30,518.12	Facility		$8,459.68	$15,259.06	$30,518.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.79 / $620.79 / $620.79	Professional		$620.79	$620.79	$620.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61,646.27 / $69,693.39 / $81,121.39	Facility		$61,646.27	$69,693.39	$81,121.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $52,438.32 / $72,861.20 / $87,301.95	Professional		$52,438.32	$72,861.20	$87,301.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $649.03 / $5,696.86 / $11,146.92	Facility		$649.03	$5,696.86	$11,146.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $640.73 / $5,021.00 / $13,222.00	Professional		$640.73	$5,021.00	$13,222.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $689.91 / $5,696.86 / $11,824.21	Facility		$689.91	$5,696.86	$11,824.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $702.55 / $10,148.82 / $19,232.24	Professional		$702.55	$10,148.82	$19,232.24
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 $417.68 / $691.73 / $1,482.02	Professional		$417.68	$691.73	$1,482.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,529.15 / $7,650.15 / $10,958.18	Professional		$1,529.15	$7,650.15	$10,958.18