Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.00 / $4,400.00 / $14,895.00	Facility		$1,267.00	$4,400.00	$14,895.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.72 / $1,287.25 / $1,602.63	Professional		$906.72	$1,287.25	$1,602.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,956.84 / $9,392.00 / $19,827.36	Facility		$4,956.84	$9,392.00	$19,827.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,329.39 / $1,329.39 / $1,329.39	Professional		$1,329.39	$1,329.39	$1,329.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,941.00 / $11,450.00 / $20,567.00	Facility		$8,941.00	$11,450.00	$20,567.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,488.79 / $22,336.70 / $22,523.38	Facility		$17,488.79	$22,336.70	$22,523.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,573.20 / $12,873.92 / $14,655.45	Professional		$11,573.20	$12,873.92	$14,655.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $242.99 / $1,229.91 / $2,442.94	Facility		$242.99	$1,229.91	$2,442.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.25 / $227.25 / $1,705.59	Professional		$227.25	$227.25	$1,705.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.18 / $1,313.00 / $12,112.00	Facility		$272.18	$1,313.00	$12,112.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $463.32 / $1,705.59 / $3,253.01	Professional		$463.32	$1,705.59	$3,253.01
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 $1,099.14 / $1,442.63 / $2,288.82	Professional		$1,099.14	$1,442.63	$2,288.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,040.58 / $1,042.79 / $1,483.14	Professional		$1,040.58	$1,042.79	$1,483.14