Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $10,893.00	Facility		$732.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $161.05 / $176.96	Professional		$88.06	$161.05	$176.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,346.72 / $5,956.64 / $11,524.88	Facility		$3,346.72	$5,956.64	$11,524.88
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 $271.51 / $271.51 / $271.51	Professional		$271.51	$271.51	$271.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $366.03 / $14,266.70 / $14,266.70	Facility		$366.03	$14,266.70	$14,266.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.48 / $1,199.44 / $1,397.40	Professional		$1,166.48	$1,199.44	$1,397.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $187.50 / $473.08	Facility		$160.22	$187.50	$473.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.54 / $5,478.00 / $9,074.00	Professional		$154.54	$5,478.00	$9,074.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $194.98 / $473.08	Facility		$160.22	$194.98	$473.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.54 / $202.21 / $271.51	Professional		$154.54	$202.21	$271.51
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 $124.15 / $170.71 / $263.82	Professional		$124.15	$170.71	$263.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $247.97 / $247.97 / $334.76	Professional		$247.97	$247.97	$334.76