Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.83 / $3,849.00 / $13,004.00	Facility		$1,100.83	$3,849.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.28 / $1,058.24 / $1,154.35	Professional		$770.28	$1,058.24	$1,154.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,966.30 / $7,480.40 / $15,852.51	Facility		$3,966.30	$7,480.40	$15,852.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,774.66 / $3,774.66 / $3,774.66	Facility		$3,774.66	$3,774.66	$3,774.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $1,810.27 / $1,810.27	Professional		$1,810.27	$1,810.27	$1,810.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,405.12 / $14,915.20 / $14,915.20	Facility		$5,405.12	$14,915.20	$14,915.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,428.16 / $6,468.32 / $8,492.85	Professional		$6,428.16	$6,468.32	$8,492.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $893.44 / $1,104.14 / $3,124.62	Facility		$893.44	$1,104.14	$3,124.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $787.12 / $5,306.00 / $6,634.00	Professional		$787.12	$5,306.00	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $893.44 / $1,106.89 / $3,124.62	Facility		$893.44	$1,106.89	$3,124.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $787.12 / $787.12 / $1,810.27	Professional		$787.12	$787.12	$1,810.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $881.64 / $1,348.39 / $2,155.03	Professional		$881.64	$1,348.39	$2,155.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,398.87 / $3,398.87 / $4,588.47	Professional		$3,398.87	$3,398.87	$4,588.47