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 $1,299.58 / $1,969.21 / $2,225.21	Professional		$1,299.58	$1,969.21	$2,225.21
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,821.00 / $17,529.00 / $36,462.00	Facility		$11,821.00	$17,529.00	$36,462.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,636.91 / $28,406.95 / $29,534.12	Facility		$23,636.91	$28,406.95	$29,534.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,324.48 / $16,979.91 / $19,690.20	Professional		$16,324.48	$16,979.91	$19,690.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,672.70 / $2,004.07 / $3,958.36	Facility		$1,672.70	$2,004.07	$3,958.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,672.70 / $1,672.70 / $2,193.48	Professional		$1,672.70	$1,672.70	$2,193.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,702.39 / $2,372.29 / $21,214.00	Facility		$1,702.39	$2,372.29	$21,214.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,122.78 / $2,926.21 / $4,267.39	Professional		$2,122.78	$2,926.21	$4,267.39
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 $1,540.88 / $2,019.58 / $3,227.74	Professional		$1,540.88	$2,019.58	$3,227.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,672.70 / $1,867.45 / $2,291.60	Professional		$1,672.70	$1,867.45	$2,291.60