Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $10,893.00	Facility		$732.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $111.52 / $113.52	Professional		$67.67	$111.52	$113.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $150.78 / $150.78	Professional		$128.16	$150.78	$150.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $267.67 / $6,887.55 / $6,887.55	Facility		$267.67	$6,887.55	$6,887.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.93 / $120.64 / $161.75	Facility		$88.93	$120.64	$161.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $86.27 / $108.30	Professional		$86.27	$86.27	$108.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.77 / $130.47 / $162.33	Facility		$96.77	$130.47	$162.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $108.30 / $108.30	Professional		$108.30	$108.30	$108.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,124.00 / $3,314.00 / $7,600.00	Facility		$1,124.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $121.99 / $175.54	Professional		$86.40	$121.99	$175.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $147.76 / $169.50	Professional		$105.53	$147.76	$169.50