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 $145.30 / $222.51 / $266.63	Professional		$145.30	$222.51	$266.63
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 $802.04 / $1,075.97 / $1,087.00	Facility		$802.04	$1,075.97	$1,087.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,542.24 / $1,708.08 / $1,848.60	Professional		$1,542.24	$1,708.08	$1,848.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.79 / $224.77 / $453.47	Facility		$200.79	$224.77	$453.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.79 / $200.79 / $204.37	Professional		$200.79	$200.79	$204.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.16 / $226.96 / $453.47	Facility		$205.16	$226.96	$453.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.37 / $204.37 / $204.37	Professional		$204.37	$204.37	$204.37
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 $169.37 / $235.70 / $377.03	Professional		$169.37	$235.70	$377.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.79 / $207.02 / $278.05	Professional		$200.79	$207.02	$278.05