Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,570.88 / $17,782.79	Facility		$1,202.26	$4,570.88	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $2,238.72	Professional		$1,288.25	$1,905.46	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $17,782.79 / $36,307.81	Facility		$13,182.57	$17,782.79	$36,307.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29,512.09 / $29,512.09 / $29,512.09	Facility		$29,512.09	$29,512.09	$29,512.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $19,498.45 / $19,498.45	Professional		$16,982.44	$19,498.45	$19,498.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $17,378.01	Facility		$1,096.48	$3,715.35	$17,378.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $4,073.80	Professional		$1,348.96	$1,862.09	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $24,547.09	Facility		$1,862.09	$3,019.95	$24,547.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $4,265.80	Professional		$2,290.87	$3,090.30	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $3,235.94	Professional		$1,548.82	$2,089.30	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,819.70	Professional		$1,659.59	$1,659.59	$1,819.70