Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,682.00 / $10,893.00	Facility		$657.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $63.35 / $68.43	Professional		$34.52	$63.35	$68.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,346.72 / $6,033.01 / $12,256.94	Facility		$3,346.72	$6,033.01	$12,256.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,610.55 / $3,610.55 / $3,610.55	Facility		$3,610.55	$3,610.55	$3,610.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.69 / $103.69 / $103.69	Professional		$103.69	$103.69	$103.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.45 / $14,266.70 / $14,266.70	Facility		$100.45	$14,266.70	$14,266.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $729.65 / $829.18 / $854.06	Professional		$729.65	$829.18	$854.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.85 / $63.86 / $181.26	Facility		$45.85	$63.86	$181.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $5,478.00 / $9,074.00	Professional		$42.32	$5,478.00	$9,074.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.85 / $63.86 / $181.26	Facility		$45.85	$63.86	$181.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $42.32 / $103.69	Professional		$34.57	$42.32	$103.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $44.87 / $94.09	Professional		$24.88	$44.87	$94.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $93.84 / $126.68	Professional		$93.84	$93.84	$126.68