Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,022.64	Facility		$977.24	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $4,786.30 / $6,456.54	Professional		$630.96	$4,786.30	$6,456.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $16,218.10 / $33,113.11	Facility		$8,912.51	$16,218.10	$33,113.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81,283.05 / $81,283.05 / $81,283.05	Facility		$81,283.05	$81,283.05	$81,283.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $72,443.60 / $87,096.36 / $87,096.36	Professional		$72,443.60	$87,096.36	$87,096.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,801.89 / $11,220.18	Facility		$794.33	$3,801.89	$11,220.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $5,248.07 / $7,079.46	Professional		$707.95	$5,248.07	$7,079.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $5,888.44 / $13,803.84	Facility		$660.69	$5,888.44	$13,803.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $10,471.29 / $19,054.61	Professional		$1,023.29	$10,471.29	$19,054.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,964.78 / $23,442.29	Facility		$4,365.16	$10,964.78	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $1,479.11	Professional		$398.11	$630.96	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $8,128.31	Professional		$7,585.78	$7,585.78	$8,128.31