Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,219.00 / $11,453.00	Facility		$797.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.87 / $770.74 / $834.22	Professional		$577.87	$770.74	$834.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $812.88 / $812.88 / $812.88	Professional		$812.88	$812.88	$812.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,059.42 / $1,772.91 / $6,291.65	Facility		$1,059.42	$1,772.91	$6,291.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.05 / $806.05 / $806.05	Professional		$806.05	$806.05	$806.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,035.34 / $11,879.05 / $11,879.05	Facility		$3,035.34	$11,879.05	$11,879.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,307.30 / $5,803.28 / $5,803.28	Professional		$4,307.30	$5,803.28	$5,803.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $640.29 / $801.57 / $1,132.33	Facility		$640.29	$801.57	$1,132.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $711.43 / $711.43 / $768.93	Professional		$711.43	$711.43	$768.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $662.87 / $833.13 / $1,150.29	Facility		$662.87	$833.13	$1,150.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $768.93 / $768.93 / $772.70	Professional		$768.93	$768.93	$772.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,931.00 / $13,134.00	Facility		$2,093.00	$5,931.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.64 / $862.18 / $1,332.00	Professional		$646.64	$862.18	$1,332.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $711.43 / $759.82 / $996.27	Professional		$711.43	$759.82	$996.27