Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $4,185.00 / $17,181.00	Facility		$1,077.00	$4,185.00	$17,181.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.13 / $1,463.10 / $2,275.94	Professional		$1,140.13	$1,463.10	$2,275.94
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 $10,902.43 / $13,341.79 / $16,770.38	Facility		$10,902.43	$13,341.79	$16,770.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,731.90 / $9,583.28 / $10,133.48	Professional		$8,731.90	$9,583.28	$10,133.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,191.79 / $1,692.37 / $3,005.74	Facility		$1,191.79	$1,692.37	$3,005.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,010.31 / $1,010.31 / $1,672.70	Professional		$1,010.31	$1,010.31	$1,672.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,221.33 / $2,007.32 / $21,214.00	Facility		$1,221.33	$2,007.32	$21,214.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,010.31 / $1,428.66 / $2,083.46	Professional		$1,010.31	$1,428.66	$2,083.46
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 $1,445.38 / $1,996.54 / $3,186.32	Professional		$1,445.38	$1,996.54	$3,186.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,672.70 / $1,712.10 / $2,291.60	Professional		$1,672.70	$1,712.10	$2,291.60