Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,682.00 / $12,281.00	Facility		$983.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,322.08 / $1,516.71 / $1,695.62	Professional		$1,322.08	$1,516.71	$1,695.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,206.30 / $1,206.30 / $1,206.30	Professional		$1,206.30	$1,206.30	$1,206.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,484.18 / $10,484.18 / $10,484.18	Facility		$10,484.18	$10,484.18	$10,484.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,718.77 / $2,718.77 / $2,718.77	Professional		$2,718.77	$2,718.77	$2,718.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,073.12 / $41,427.19 / $41,427.19	Facility		$11,073.12	$41,427.19	$41,427.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,649.36 / $11,594.96 / $12,758.33	Professional		$10,649.36	$11,594.96	$12,758.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,373.73 / $1,574.84 / $3,090.96	Facility		$1,373.73	$1,574.84	$3,090.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.73 / $1,373.73 / $1,410.92	Professional		$1,373.73	$1,373.73	$1,410.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,398.91 / $1,601.51 / $4,305.03	Facility		$1,398.91	$1,601.51	$4,305.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,410.92 / $1,410.92 / $2,718.77	Professional		$1,410.92	$1,410.92	$2,718.77
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 $1,267.34 / $1,699.93 / $2,752.27	Professional		$1,267.34	$1,699.93	$2,752.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,373.73 / $1,499.85 / $3,369.86	Professional		$1,373.73	$1,499.85	$3,369.86