Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $2,500.00 / $7,513.00	Facility		$714.00	$2,500.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,738.42 / $3,500.49 / $3,889.69	Professional		$2,738.42	$3,500.49	$3,889.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,149.58 / $1,911.20 / $4,368.45	Facility		$1,149.58	$1,911.20	$4,368.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.15 / $1,149.58 / $1,149.58	Professional		$977.15	$1,149.58	$1,149.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.69 / $1,016.69 / $1,016.69	Facility		$1,016.69	$1,016.69	$1,016.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,045.30 / $22,083.11 / $24,942.19	Facility		$18,045.30	$22,083.11	$24,942.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,728.18 / $22,396.80 / $23,765.40	Professional		$21,728.18	$22,396.80	$23,765.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $353.83 / $3,365.00 / $7,120.21	Facility		$353.83	$3,365.00	$7,120.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $345.90 / $345.90 / $2,627.81	Professional		$345.90	$345.90	$2,627.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $370.96 / $3,415.91 / $7,133.80	Facility		$370.96	$3,415.91	$7,133.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.39 / $2,296.66 / $4,236.72	Professional		$185.39	$2,296.66	$4,236.72
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,193.00 / $4,554.00	Facility		$564.00	$2,193.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,819.13 / $4,104.24 / $6,351.81	Professional		$2,819.13	$4,104.24	$6,351.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,569.61 / $3,061.51 / $4,381.88	Professional		$2,569.61	$3,061.51	$4,381.88