Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,528.00 / $6,762.00	Facility		$649.00	$2,528.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.81 / $297.45 / $6,158.00	Professional		$191.81	$297.45	$6,158.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,605.41 / $4,773.72 / $9,573.37	Facility		$2,605.41	$4,773.72	$9,573.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,897.00 / $5,897.00	Facility		$55.00	$5,897.00	$5,897.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.00 / $1,173.00 / $1,173.00	Professional		$1,173.00	$1,173.00	$1,173.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,663.00 / $4,663.00 / $5,830.00	Professional		$4,663.00	$4,663.00	$5,830.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00