Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.00 / $3,682.00 / $14,449.00	Facility		$757.00	$3,682.00	$14,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $329.06 / $412.72	Professional		$215.00	$329.06	$412.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $617.90 / $1,059.26 / $2,143.73	Facility		$617.90	$1,059.26	$2,143.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.01 / $477.01 / $477.01	Facility		$477.01	$477.01	$477.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,497.65 / $1,884.85 / $1,885.50	Facility		$1,497.65	$1,884.85	$1,885.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,304.16 / $2,370.48 / $2,761.20	Professional		$2,304.16	$2,370.48	$2,761.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.88 / $331.02 / $670.58	Facility		$289.88	$331.02	$670.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $289.88 / $305.32 / $4,336.00	Professional		$289.88	$305.32	$4,336.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.89 / $335.64 / $670.58	Facility		$294.89	$335.64	$670.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.32 / $530.50 / $530.50	Professional		$305.32	$530.50	$530.50
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $3,400.00	Facility		$369.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.98 / $366.36 / $584.40	Professional		$278.98	$366.36	$584.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $289.88 / $330.94 / $399.49	Professional		$289.88	$330.94	$399.49