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 $186.21 / $234.42 / $616.60	Professional		$186.21	$234.42	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,897.79 / $10,000.00	Facility		$2,951.21	$4,897.79	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility		$10,964.78	$10,964.78	$10,964.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $4,677.35	Professional		$3,467.37	$4,677.35	$4,677.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,995.26 / $6,918.31	Facility		$309.03	$1,995.26	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $223.87 / $4,570.88	Professional		$208.93	$223.87	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $309.03 / $616.60	Facility		$218.78	$309.03	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $645.65	Professional		$380.19	$380.19	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $416.87	Professional		$194.98	$263.03	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $645.65	Professional		$588.84	$588.84	$645.65