Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,398.83	Professional		$1,862.09	$1,862.09	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $1,513.56	Professional		$436.52	$436.52	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $56.23	Facility		$54.95	$56.23	$56.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Professional		$10,964.78	$10,964.78	$10,964.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,511.89 / $7,943.28	Facility		$1,000.00	$2,511.89	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $4,073.80	Facility		$1,862.09	$2,041.74	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $436.52 / $1,513.56	Professional		$79.43	$436.52	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46