Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,235.94 / $7,943.28	Facility		$794.33	$3,235.94	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $741.31	Professional		$128.82	$173.78	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,709.64 / $16,595.87	Facility		$4,677.35	$8,709.64	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $316.23	Professional		$251.19	$251.19	$316.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $26,302.68	Facility		$26,302.68	$26,302.68	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $1,995.26	Professional		$1,778.28	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $851.14 / $4,786.30	Facility		$162.18	$851.14	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $1,096.48	Professional		$162.18	$169.82	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $741.31	Facility		$158.49	$263.03	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $446.68	Professional		$208.93	$245.47	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $14,125.38	Facility		$2,187.76	$6,606.93	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $309.03	Professional		$147.91	$199.53	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $245.47	Professional		$229.09	$245.47	$245.47