Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,730.00 / $12,281.00	Facility		$1,002.00	$3,730.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,505.25 / $9,334.11 / $10,856.95	Professional		$2,505.25	$9,334.11	$10,856.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,136.32 / $24,899.20 / $49,637.76	Facility		$14,136.32	$24,899.20	$49,637.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,444.93 / $6,444.93 / $6,444.93	Professional		$6,444.93	$6,444.93	$6,444.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45,524.23 / $45,524.23 / $45,524.23	Facility		$45,524.23	$45,524.23	$45,524.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,656.81 / $179,884.55 / $179,884.55	Facility		$7,656.81	$179,884.55	$179,884.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $60,271.33 / $60,271.33 / $60,271.33	Professional		$60,271.33	$60,271.33	$60,271.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,414.22 / $5,742.44 / $19,788.31	Facility		$1,414.22	$5,742.44	$19,788.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,115.01 / $1,115.01 / $1,414.22	Professional		$1,115.01	$1,115.01	$1,414.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,414.22 / $9,334.11 / $19,788.31	Facility		$1,414.22	$9,334.11	$19,788.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,115.01 / $1,115.01 / $1,115.01	Professional		$1,115.01	$1,115.01	$1,115.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,458.00 / $22,000.00	Facility		$4,409.00	$9,458.00	$22,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,773.97 / $10,688.21 / $17,107.90	Professional		$7,773.97	$10,688.21	$17,107.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,414.22 / $1,909.20 / $8,113.15	Professional		$1,414.22	$1,909.20	$8,113.15