Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,620.00 / $12,281.00	Facility		$921.00	$3,620.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $389.68 / $508.14	Professional		$264.64	$389.68	$508.14
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 $9,557.59 / $9,557.59 / $9,557.59	Facility		$9,557.59	$9,557.59	$9,557.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,614.40 / $37,765.90 / $37,765.90	Facility		$1,614.40	$37,765.90	$37,765.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,201.52 / $2,201.52 / $2,975.93	Professional		$2,201.52	$2,201.52	$2,975.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.56 / $389.68 / $826.12	Facility		$302.56	$389.68	$826.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.56 / $329.15 / $13,222.00	Professional		$302.56	$329.15	$13,222.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.08 / $401.82 / $826.12	Facility		$309.08	$401.82	$826.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.69 / $504.53 / $593.57	Professional		$306.69	$504.53	$593.57
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 $338.73 / $453.72 / $720.12	Professional		$338.73	$453.72	$720.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.56 / $375.54 / $417.37	Professional		$302.56	$375.54	$417.37