Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $1,621.81	Professional		$891.25	$1,348.96	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $12,022.64 / $20,417.38	Facility		$9,332.54	$12,022.64	$20,417.38
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 $10,232.93 / $12,302.69 / $12,302.69	Professional		$10,232.93	$12,302.69	$12,302.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,454.71 / $8,511.38	Facility		$977.24	$2,454.71	$8,511.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,238.72	Professional		$954.99	$1,348.96	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $13,182.57	Facility		$1,318.26	$1,949.84	$13,182.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,570.40	Professional		$1,380.38	$1,380.38	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,398.83	Professional		$1,174.90	$1,584.89	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,230.27	Professional		$1,122.02	$1,122.02	$1,230.27