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 Professional Modifier Low / Median / High Price $730.25 / $730.25 / $730.25	Professional		$730.25	$730.25	$730.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $434.00 / $1,505.00	Professional		$434.00	$434.00	$1,505.00
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 / $10,994.50 / $10,994.50	Professional		$10,994.50	$10,994.50	$10,994.50
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 / $1,505.00	Professional		$434.00	$434.00	$1,505.00
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,694.00 / $2,694.00 / $2,694.00	Professional		$2,694.00	$2,694.00	$2,694.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,903.25 / $1,903.25 / $2,569.39	Professional		$1,903.25	$1,903.25	$2,569.39