Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $177.83	Professional		$83.18	$158.49	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,025.60 / $12,022.64	Facility		$3,311.31	$6,025.60	$12,022.64
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 $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
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 $1,174.90 / $1,412.54 / $1,412.54	Professional		$1,174.90	$1,412.54	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $436.52 / $5,248.07	Facility		$158.49	$436.52	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $251.19	Professional		$107.15	$158.49	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $177.83 / $346.74	Facility		$109.65	$177.83	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $275.42	Professional		$158.49	$158.49	$275.42
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 $125.89 / $169.82 / $263.03	Professional		$125.89	$169.82	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47