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 $974.76 / $1,681.80 / $1,976.86	Professional		$974.76	$1,681.80	$1,976.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.04 / $2,425.63 / $12,713.03	Facility		$1,081.04	$2,425.63	$12,713.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,534.81 / $1,534.81 / $1,534.81	Professional		$1,534.81	$1,534.81	$1,534.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.90 / $1,907.78 / $2,329.73	Professional		$1,341.90	$1,907.78	$2,329.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $18,788.99	Facility		$55.00	$55.00	$18,788.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,738.96 / $11,040.16 / $12,866.40	Professional		$10,738.96	$11,040.16	$12,866.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,565.36 / $2,404.96 / $3,565.42	Facility		$1,565.36	$2,404.96	$3,565.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,422.82 / $1,422.82 / $2,457.23	Professional		$1,422.82	$1,422.82	$2,457.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,541.62 / $2,190.31 / $4,190.93	Facility		$1,541.62	$2,190.31	$4,190.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,365.03 / $1,907.78 / $2,596.14	Professional		$1,365.03	$1,907.78	$2,596.14
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 $1,167.86 / $1,605.82 / $2,541.31	Professional		$1,167.86	$1,605.82	$2,541.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,693.65 / $2,457.23 / $3,317.26	Professional		$1,693.65	$2,457.23	$3,317.26