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 $1,000.00 / $1,174.90 / $10,232.93	Professional		$1,000.00	$1,174.90	$10,232.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,630.27 / $4,265.80	Facility		$1,023.29	$2,630.27	$4,265.80
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 $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $10,471.29	Facility		$977.24	$3,715.35	$10,471.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $4,570.88 / $14,454.40	Professional		$1,000.00	$4,570.88	$14,454.40
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 $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53