Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.00 / $2,410.00 / $7,513.00	Facility		$647.00	$2,410.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $112.50 / $6,386.00	Professional		$112.50	$112.50	$6,386.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.61 / $263.00 / $732.99	Facility		$152.61	$263.00	$732.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,100.00 / $2,100.00	Professional		$2,100.00	$2,100.00	$2,100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,000.00 / $7,000.00 / $7,000.00	Professional		$7,000.00	$7,000.00	$7,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,100.00 / $2,100.00	Professional		$2,100.00	$2,100.00	$2,100.00
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00