Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.00 / $3,219.00 / $11,453.00	Facility		$867.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.87 / $940.27 / $1,018.78	Professional		$613.87	$940.27	$1,018.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $765.18 / $900.00 / $944.39	Professional		$765.18	$900.00	$944.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,696.69 / $2,926.79 / $6,362.58	Facility		$1,696.69	$2,926.79	$6,362.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,696.69 / $1,696.69 / $1,696.69	Professional		$1,696.69	$1,696.69	$1,696.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,055.72 / $5,055.72 / $5,220.97	Facility		$5,055.72	$5,055.72	$5,220.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,503.84 / $23,294.30 / $23,294.30	Facility		$4,503.84	$23,294.30	$23,294.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,071.44 / $6,411.84 / $6,922.65	Professional		$6,071.44	$6,411.84	$6,922.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.11 / $1,007.75 / $1,369.35	Facility		$812.11	$1,007.75	$1,369.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $765.18 / $765.18 / $955.42	Professional		$765.18	$765.18	$955.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $807.13 / $994.73 / $1,456.86	Facility		$807.13	$994.73	$1,456.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $626.16 / $765.18 / $1,310.53	Professional		$626.16	$765.18	$1,310.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $4,081.00 / $8,326.00	Facility		$1,273.00	$4,081.00	$8,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.96 / $1,044.07 / $1,591.15	Professional		$781.96	$1,044.07	$1,591.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $955.42 / $986.57 / $1,337.65	Professional		$955.42	$986.57	$1,337.65