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 $236.01 / $361.43 / $435.59	Professional		$236.01	$361.43	$435.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,834.81 / $4,714.74 / $9,578.67	Facility		$2,834.81	$4,714.74	$9,578.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,620.70 / $1,983.05 / $2,204.69	Facility		$1,620.70	$1,983.05	$2,204.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,493.28 / $2,771.60 / $2,988.15	Professional		$2,493.28	$2,771.60	$2,988.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $325.27 / $362.52 / $736.57	Facility		$325.27	$362.52	$736.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $325.27 / $325.27 / $330.38	Professional		$325.27	$325.27	$330.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.10 / $368.66 / $736.57	Facility		$331.10	$368.66	$736.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.38 / $330.38 / $330.38	Professional		$330.38	$330.38	$330.38
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 $293.33 / $384.47 / $615.84	Professional		$293.33	$384.47	$615.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $325.27 / $334.46 / $448.59	Professional		$325.27	$334.46	$448.59