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 / $10,836.00	Facility		$945.00	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.38 / $3,017.00 / $11,719.00	Professional		$950.38	$3,017.00	$11,719.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.64 / $7,250.57 / $14,501.13	Facility		$4,108.64	$7,250.57	$14,501.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,352.00 / $1,352.00 / $1,352.00	Professional		$1,352.00	$1,352.00	$1,352.00
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 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23
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 Professional Modifier Low / Median / High Price $1,352.00 / $1,352.00 / $1,352.00	Professional		$1,352.00	$1,352.00	$1,352.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00