Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $4,185.00 / $17,181.00	Facility		$1,077.00	$4,185.00	$17,181.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.92 / $1,186.75 / $1,487.01	Professional		$774.92	$1,186.75	$1,487.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,394.54 / $3,078.68 / $8,427.00	Facility		$1,394.54	$3,078.68	$8,427.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,821.00 / $17,529.00 / $36,462.00	Facility		$11,821.00	$17,529.00	$36,462.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,656.70 / $14,947.57 / $15,275.26	Facility		$11,656.70	$14,947.57	$15,275.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,541.52 / $8,731.12 / $10,462.87	Professional		$8,541.52	$8,731.12	$10,462.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.81 / $1,267.31 / $2,418.52	Facility		$1,140.81	$1,267.31	$2,418.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.21 / $1,080.21 / $1,080.21	Professional		$1,080.21	$1,080.21	$1,080.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,140.81 / $1,702.16 / $24,270.00	Facility		$1,140.81	$1,702.16	$24,270.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,080.21 / $1,080.21 / $1,080.21	Professional		$1,080.21	$1,080.21	$1,080.21
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 $1,013.39 / $1,328.22 / $2,153.46	Professional		$1,013.39	$1,328.22	$2,153.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $739.76 / $739.76 / $998.68	Professional		$739.76	$739.76	$998.68