Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $4,400.00 / $14,895.00	Facility		$983.00	$4,400.00	$14,895.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.47 / $597.47 / $667.50	Professional		$520.47	$597.47	$667.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,671.93 / $1,671.93 / $1,671.93	Professional		$1,671.93	$1,671.93	$1,671.93
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 $5,977.07 / $69,789.64 / $69,789.64	Facility		$5,977.07	$69,789.64	$69,789.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,181.28 / $4,300.24 / $5,012.10	Professional		$4,181.28	$4,300.24	$5,012.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $538.57 / $616.50 / $1,217.59	Facility		$538.57	$616.50	$1,217.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $538.57 / $538.57 / $553.90	Professional		$538.57	$538.57	$553.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $574.33 / $711.80 / $18,406.00	Facility		$574.33	$711.80	$18,406.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $553.90 / $553.90 / $553.90	Professional		$553.90	$553.90	$553.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.84 / $701.07 / $1,083.48	Professional		$505.84	$701.07	$1,083.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $538.57 / $587.14 / $1,115.94	Professional		$538.57	$587.14	$1,115.94