Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $4,185.00 / $17,181.00	Facility		$1,093.00	$4,185.00	$17,181.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.78 / $1,789.46 / $2,386.96	Professional		$1,213.78	$1,789.46	$2,386.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,505.03 / $1,505.03 / $1,505.03	Professional		$1,505.03	$1,505.03	$1,505.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $22,859.52 / $27,974.72 / $31,138.56	Facility		$22,859.52	$27,974.72	$31,138.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,110.48 / $12,233.12 / $13,172.78	Professional		$11,110.48	$12,233.12	$13,172.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,459.27 / $1,751.12 / $3,647.76	Facility		$1,459.27	$1,751.12	$3,647.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.38 / $1,456.38 / $1,459.27	Professional		$1,456.38	$1,456.38	$1,459.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,477.27 / $1,789.92 / $3,647.76	Facility		$1,477.27	$1,789.92	$3,647.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,456.38 / $1,456.38 / $1,456.38	Professional		$1,456.38	$1,456.38	$1,456.38
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,552.85 / $2,122.69 / $3,442.20	Professional		$1,552.85	$2,122.69	$3,442.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,459.27 / $1,712.10 / $1,994.31	Professional		$1,459.27	$1,712.10	$1,994.31