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 / $640.00	Professional		$190.47	$198.15	$640.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,719.35 / $3,266.76 / $7,135.30	Facility		$1,719.35	$3,266.76	$7,135.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,061.51 / $1,248.83 / $1,248.83	Professional		$1,061.51	$1,248.83	$1,248.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,069.29 / $2,069.29 / $2,069.29	Facility		$2,069.29	$2,069.29	$2,069.29
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 $1,093.30 / $8,176.60 / $8,176.60	Facility		$1,093.30	$8,176.60	$8,176.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,501.76 / $1,804.96 / $2,016.00	Professional		$1,501.76	$1,804.96	$2,016.00
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 / $239.17 / $9,074.00	Professional		$114.10	$239.17	$9,074.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.96 / $235.77 / $478.08	Facility		$126.96	$235.77	$478.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.26 / $239.17 / $443.57	Professional		$204.26	$239.17	$443.57
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