Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,236.00 / $7,513.00	Facility		$521.00	$2,236.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.47 / $198.15 / $315.83	Professional		$190.47	$198.15	$315.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,719.35 / $3,197.99 / $6,948.22	Facility		$1,719.35	$3,197.99	$6,948.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,248.83 / $1,248.83 / $1,248.83	Professional		$1,248.83	$1,248.83	$1,248.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,158.30 / $2,158.30 / $2,158.30	Facility		$2,158.30	$2,158.30	$2,158.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $252.00 / $315.00	Professional		$252.00	$252.00	$315.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,304.40 / $8,528.29 / $8,528.29	Facility		$1,304.40	$8,528.29	$8,528.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,501.76 / $1,788.72 / $2,003.70	Professional		$1,501.76	$1,788.72	$2,003.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.81 / $222.88 / $403.80	Facility		$119.81	$222.88	$403.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $236.98 / $9,074.00	Professional		$114.10	$236.98	$9,074.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.96 / $235.77 / $433.02	Facility		$126.96	$235.77	$433.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.49 / $236.98 / $431.03	Professional		$198.49	$236.98	$431.03
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 $169.48 / $233.04 / $360.15	Professional		$169.48	$233.04	$360.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.11 / $231.18 / $326.75	Professional		$125.11	$231.18	$326.75