Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $281.84	Professional		$151.36	$213.80	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,318.26	Professional		$1,288.25	$1,318.26	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,819.70 / $6,918.31	Facility		$194.98	$1,819.70	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $1,000.00	Professional		$162.18	$218.78	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $213.80 / $331.13	Facility		$162.18	$213.80	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $371.54	Professional		$186.21	$245.47	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82