Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $2,747.00 / $7,542.00	Facility		$662.00	$2,747.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.57 / $168.08 / $744.80	Professional		$161.57	$168.08	$744.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,249.20 / $1,249.20 / $1,249.20	Professional		$1,249.20	$1,249.20	$1,249.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,627.59 / $8,373.70 / $16,416.84	Facility		$4,627.59	$8,373.70	$16,416.84
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 $6,641.29 / $6,641.29 / $6,641.29	Facility		$6,641.29	$6,641.29	$6,641.29
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 $1,304.40 / $26,242.40 / $26,242.40	Facility		$1,304.40	$26,242.40	$26,242.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,508.16 / $1,788.72 / $2,003.70	Professional		$1,508.16	$1,788.72	$2,003.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.53 / $206.33 / $353.15	Facility		$120.53	$206.33	$353.15
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 $123.20 / $231.05 / $477.08	Facility		$123.20	$231.05	$477.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.40 / $236.98 / $451.33	Professional		$109.40	$236.98	$451.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,648.00 / $12,900.00	Facility		$2,093.00	$5,648.00	$12,900.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $197.31 / $313.11	Professional		$147.69	$197.31	$313.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.11 / $231.18 / $326.75	Professional		$125.11	$231.18	$326.75