Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,673.00 / $7,542.00	Facility		$803.00	$2,673.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.79 / $1,494.47 / $1,610.17	Professional		$1,240.79	$1,494.47	$1,610.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.04 / $2,432.34 / $12,594.61	Facility		$1,081.04	$2,432.34	$12,594.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,118.48 / $10,222.79 / $10,684.44	Facility		$8,118.48	$10,222.79	$10,684.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,709.60 / $11,195.84 / $12,472.05	Professional		$10,709.60	$11,195.84	$12,472.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $381.84 / $1,494.47 / $3,045.63	Facility		$381.84	$1,494.47	$3,045.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.66 / $363.66 / $1,483.33	Professional		$363.66	$363.66	$1,483.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $405.80 / $1,556.54 / $3,045.63	Facility		$405.80	$1,556.54	$3,045.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,483.33 / $1,483.33 / $1,483.33	Professional		$1,483.33	$1,483.33	$1,483.33
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 $1,188.07 / $1,633.60 / $2,592.96	Professional		$1,188.07	$1,633.60	$2,592.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,476.01 / $1,567.10 / $5,273.45	Professional		$1,476.01	$1,567.10	$5,273.45