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 $232.82 / $266.80 / $298.58	Professional		$232.82	$266.80	$298.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.99 / $578.11 / $1,396.19	Facility		$329.99	$578.11	$1,396.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $623.11 / $1,271.59 / $1,386.05	Facility		$623.11	$1,271.59	$1,386.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,985.36 / $2,041.28 / $2,377.88	Professional		$1,985.36	$2,041.28	$2,377.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.47 / $300.08 / $757.29	Facility		$256.47	$300.08	$757.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $263.00 / $263.00	Professional		$263.00	$263.00	$263.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.47 / $330.95 / $757.29	Facility		$256.47	$330.95	$757.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $263.00 / $263.00	Professional		$263.00	$263.00	$263.00
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.28 / $312.77 / $484.69	Professional		$226.28	$312.77	$484.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.75 / $183.75 / $248.06	Professional		$183.75	$183.75	$248.06