Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,630.78 / $12,022.64	Facility		$977.24	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $2,818.38	Professional		$1,000.00	$1,148.15	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $6,165.95	Facility		$1,047.13	$1,778.28	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,513.56	Professional		$891.25	$1,071.52	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,238.72	Professional		$977.24	$1,348.96	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,000.00	Facility		$54.95	$56.23	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Professional		$15,135.61	$15,135.61	$15,135.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,819.70 / $6,456.54	Facility		$891.25	$1,819.70	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,818.38	Professional		$1,000.00	$1,230.27	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $776.25 / $812.83	Professional		$54.95	$776.25	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,344.23	Facility		$912.01	$1,318.26	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,238.72	Professional		$933.25	$1,348.96	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,511.89 / $25,118.86	Facility		$436.52	$2,511.89	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $3,890.45	Professional		$851.14	$1,230.27	$3,890.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $891.25	Professional		$831.76	$831.76	$891.25