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 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $61.66 / $72.44	Professional		$12.88	$61.66	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,165.95 / $12,302.69	Facility		$3,467.37	$6,165.95	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Facility		$14,125.38	$14,125.38	$14,125.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $851.14	Professional		$724.44	$724.44	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $181.97 / $5,248.07	Facility		$51.29	$181.97	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $371.54	Professional		$40.74	$61.66	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $66.07 / $165.96	Facility		$33.11	$66.07	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $107.15	Professional		$38.90	$38.90	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,803.84	Facility		$2,187.76	$6,606.93	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $91.20	Professional		$25.70	$44.67	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33