Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,213.00 / $10,893.00	Facility		$759.00	$3,213.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.02 / $226.25 / $282.89	Professional		$150.02	$226.25	$282.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.94 / $183.94 / $183.94	Professional		$183.94	$183.94	$183.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,804.61 / $2,804.61 / $2,804.61	Facility		$2,804.61	$2,804.61	$2,804.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $952.12 / $11,082.10 / $11,082.10	Facility		$952.12	$11,082.10	$11,082.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,883.60 / $1,946.96 / $2,194.19	Professional		$1,883.60	$1,946.96	$2,194.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.47 / $243.98 / $461.06	Facility		$217.47	$243.98	$461.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $257.99 / $6,634.00	Professional		$217.47	$257.99	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.48 / $247.38 / $461.06	Facility		$217.48	$247.38	$461.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $242.69 / $399.64 / $470.16	Professional		$242.69	$399.64	$470.16
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 $192.86 / $253.13 / $409.84	Professional		$192.86	$253.13	$409.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $250.50 / $301.70	Professional		$217.47	$250.50	$301.70