Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,620.00 / $12,281.00	Facility		$1,002.00	$3,620.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,678.07 / $2,032.00 / $2,639.20	Professional		$1,678.07	$2,032.00	$2,639.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.04 / $1,967.49 / $7,901.00	Facility		$1,081.04	$1,967.49	$7,901.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,972.78 / $2,320.92 / $2,320.92	Professional		$1,972.78	$2,320.92	$2,320.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.75 / $594.75 / $743.44	Professional		$594.75	$594.75	$743.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,176.34 / $12,537.75 / $12,537.75	Facility		$4,176.34	$12,537.75	$12,537.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,613.16 / $14,565.00 / $14,636.88	Professional		$12,613.16	$14,565.00	$14,636.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $209.07 / $2,032.00 / $4,141.12	Facility		$209.07	$2,032.00	$4,141.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.11 / $199.11 / $1,763.24	Professional		$199.11	$199.11	$1,763.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $2,110.19 / $4,141.12	Facility		$219.86	$2,110.19	$4,141.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $351.98 / $1,763.24 / $3,831.22	Professional		$351.98	$1,763.24	$3,831.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,050.44 / $2,939.13 / $4,670.83	Professional		$2,050.44	$2,939.13	$4,670.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,005.65 / $2,115.78 / $2,871.61	Professional		$2,005.65	$2,115.78	$2,871.61