Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $11,210.00	Facility		$945.00	$3,682.00	$11,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,098.00 / $4,076.00 / $7,773.00	Professional		$2,098.00	$4,076.00	$7,773.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.64 / $7,298.90 / $14,839.49	Facility		$4,108.64	$7,298.90	$14,839.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $4,619.00	Facility		$900.00	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.41 / $1,717.41 / $1,717.41	Professional		$1,717.41	$1,717.41	$1,717.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $10,160.00	Facility		$55.00	$10,160.00	$10,160.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $3,747.00 / $3,747.00	Professional		$3,335.23	$3,747.00	$3,747.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,478.00 / $5,478.00 / $9,074.00	Professional		$5,478.00	$5,478.00	$9,074.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $2,530.00	Facility		$900.00	$2,277.00	$2,530.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,717.41 / $1,717.41 / $1,717.41	Professional		$1,717.41	$1,717.41	$1,717.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $13,237.00	Facility		$2,093.00	$5,870.00	$13,237.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $706.90 / $750.00 / $750.00	Professional		$706.90	$750.00	$750.00