Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,890.45 / $12,882.50	Facility		$1,122.02	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $9,332.54 / $10,964.78	Professional		$2,570.40	$9,332.54	$10,964.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $26,302.68 / $53,703.18	Facility		$15,135.61	$26,302.68	$53,703.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $45,708.82 / $45,708.82	Facility		$45,708.82	$45,708.82	$45,708.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177,827.94 / $177,827.94 / $177,827.94	Facility		$177,827.94	$177,827.94	$177,827.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $60,255.96 / $60,255.96 / $60,255.96	Professional		$60,255.96	$60,255.96	$60,255.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $13,803.84	Facility		$1,000.00	$3,715.35	$13,803.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $9,332.54 / $10,964.78	Professional		$3,311.31	$9,332.54	$10,964.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $9,772.37 / $20,417.38	Facility		$1,348.96	$9,772.37	$20,417.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,964.78 / $23,988.33	Facility		$4,365.16	$10,964.78	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $10,964.78 / $16,982.44	Professional		$7,762.47	$10,964.78	$16,982.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54