Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,213.00 / $10,893.00	Facility		$759.00	$3,213.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.91 / $226.25 / $622.26	Professional		$196.91	$226.25	$622.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,834.81 / $4,714.74 / $10,085.95	Facility		$2,834.81	$4,714.74	$10,085.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,804.61 / $2,804.61 / $2,804.61	Facility		$2,804.61	$2,804.61	$2,804.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,802.00 / $11,082.10 / $11,082.10	Facility		$1,802.00	$11,082.10	$11,082.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,435.05 / $4,633.35 / $4,648.80	Professional		$3,435.05	$4,633.35	$4,648.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.48 / $461.06 / $740.89	Facility		$217.48	$461.06	$740.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $367.39 / $592.71 / $6,634.00	Professional		$367.39	$592.71	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.48 / $404.23 / $711.82	Facility		$217.48	$404.23	$711.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.39 / $638.52 / $638.52	Professional		$367.39	$638.52	$638.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.34 / $253.13 / $419.96	Professional		$191.34	$253.13	$419.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $592.71 / $817.48	Professional		$66.67	$592.71	$817.48