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 $1,096.48 / $2,344.23 / $3,548.13	Professional		$1,096.48	$2,344.23	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,548.13	Professional		$1,949.84	$2,630.27	$3,548.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,703.96	Facility		$54.95	$56.23	$25,703.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $17,782.79 / $17,782.79	Professional		$14,791.08	$17,782.79	$17,782.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $8,511.38	Facility		$1,000.00	$3,019.95	$8,511.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,715.35	Professional		$1,995.26	$2,344.23	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,089.30	Professional		$1,995.26	$1,995.26	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $5,128.61	Facility		$2,041.74	$2,630.27	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $3,548.13	Professional		$1,905.46	$2,630.27	$3,548.13
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 $1,380.38 / $2,089.30 / $2,951.21	Professional		$1,380.38	$2,089.30	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30