Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $4,028.00 / $9,890.00	Facility		$969.00	$4,028.00	$9,890.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.32 / $544.41 / $671.64	Professional		$392.32	$544.41	$671.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,021.70 / $15,685.47 / $31,473.46	Facility		$9,021.70	$15,685.47	$31,473.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.09 / $433.05 / $433.05	Professional		$368.09	$433.05	$433.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,521.04 / $20,521.04 / $20,521.04	Facility		$20,521.04	$20,521.04	$20,521.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,991.25 / $81,086.85 / $81,086.85	Facility		$1,991.25	$81,086.85	$81,086.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,946.67 / $2,946.67 / $3,671.25	Professional		$2,946.67	$2,946.67	$3,671.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $445.11 / $544.41 / $1,154.17	Facility		$445.11	$544.41	$1,154.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $405.94 / $446.39 / $13,222.00	Professional		$405.94	$446.39	$13,222.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.09 / $544.41 / $1,154.17	Facility		$441.09	$544.41	$1,154.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $381.35 / $630.44 / $741.69	Professional		$381.35	$630.44	$741.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.98 / $668.40 / $1,066.94	Professional		$480.98	$668.40	$1,066.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.39 / $500.08 / $614.41	Professional		$446.39	$500.08	$614.41