Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,172.00 / $7,513.00	Facility		$488.00	$2,172.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.07 / $120.75 / $218.49	Professional		$118.07	$120.75	$218.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.24 / $1,009.90 / $3,885.79	Facility		$595.24	$1,009.90	$3,885.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.66 / $115.95 / $196.49	Professional		$110.66	$115.95	$196.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,989.20	Facility		$55.00	$55.00	$4,989.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.07 / $168.84 / $188.22	Facility		$118.07	$168.84	$188.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.84 / $116.84 / $3,879.00	Professional		$116.84	$116.84	$3,879.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.07 / $170.07 / $335.13	Facility		$118.07	$170.07	$335.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.84 / $116.84 / $174.71	Professional		$116.84	$116.84	$174.71
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,100.00 / $4,562.00	Facility		$597.00	$2,100.00	$4,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $128.05 / $188.10	Professional		$93.13	$128.05	$188.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $102.14 / $162.22	Professional		$102.14	$102.14	$162.22