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 $1,564.84 / $1,795.42 / $2,249.82	Professional		$1,564.84	$1,795.42	$2,249.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,543.68 / $7,588.92 / $15,129.51	Facility		$4,543.68	$7,588.92	$15,129.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,202.27 / $3,767.38 / $3,767.38	Professional		$3,202.27	$3,767.38	$3,767.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,224.04 / $10,224.04 / $10,224.04	Facility		$10,224.04	$10,224.04	$10,224.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27,271.04 / $40,399.35 / $40,399.35	Facility		$27,271.04	$40,399.35	$40,399.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,391.45 / $27,561.36 / $31,422.68	Professional		$16,391.45	$27,561.36	$31,422.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.82 / $2,019.57 / $4,622.59	Facility		$724.82	$2,019.57	$4,622.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $690.30 / $690.30 / $3,651.58	Professional		$690.30	$690.30	$3,651.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $767.49 / $2,468.07 / $5,096.12	Facility		$767.49	$2,468.07	$5,096.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,252.56 / $3,651.58 / $6,446.97	Professional		$1,252.56	$3,651.58	$6,446.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $16,000.00	Facility		$2,605.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,533.09 / $2,108.00 / $3,345.31	Professional		$1,533.09	$2,108.00	$3,345.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,210.59 / $3,369.86 / $4,574.85	Professional		$3,210.59	$3,369.86	$4,574.85