Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $2,062.50	Professional		$1,875.00	$1,875.00	$2,062.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.96 / $1,819.25 / $5,491.61	Facility		$1,071.96	$1,819.25	$5,491.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $434.00 / $1,719.00	Professional		$434.00	$434.00	$1,719.00
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 $10,994.50 / $11,402.93 / $11,779.22	Professional		$10,994.50	$11,402.93	$11,779.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $3,975.00	Facility		$1,875.00	$1,875.00	$3,975.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $3,975.00	Facility		$1,875.00	$1,875.00	$3,975.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $434.00 / $1,719.00	Professional		$434.00	$434.00	$1,719.00
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,489.00 / $4,489.00 / $4,489.00	Professional		$4,489.00	$4,489.00	$4,489.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,312.55 / $2,312.55 / $3,121.94	Professional		$2,312.55	$2,312.55	$3,121.94