Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $4,028.00 / $14,841.00	Facility		$1,077.00	$4,028.00	$14,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,185.48 / $1,762.01 / $2,282.10	Professional		$1,185.48	$1,762.01	$2,282.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,124.28 / $2,324.23 / $5,821.21	Facility		$1,124.28	$2,324.23	$5,821.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $865.08 / $865.08 / $865.08	Professional		$865.08	$865.08	$865.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,314.00 / $11,534.00 / $20,567.00	Facility		$9,314.00	$11,534.00	$20,567.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,400.96 / $15,175.49 / $19,593.64	Facility		$12,400.96	$15,175.49	$19,593.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,541.82 / $11,196.56 / $13,041.83	Professional		$10,541.82	$11,196.56	$13,041.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,245.10 / $1,832.95 / $3,735.46	Facility		$1,245.10	$1,832.95	$3,735.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,149.18 / $1,149.18 / $1,672.70	Professional		$1,149.18	$1,149.18	$1,672.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,245.10 / $2,007.32 / $13,036.00	Facility		$1,245.10	$2,007.32	$13,036.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,149.18 / $1,554.81 / $2,027.95	Professional		$1,149.18	$1,554.81	$2,027.95
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 $1,485.61 / $2,014.54 / $3,198.94	Professional		$1,485.61	$2,014.54	$3,198.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $1,672.70 / $2,291.60	Professional		$24.58	$1,672.70	$2,291.60