Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,890.45 / $10,964.78	Facility		$1,047.13	$3,890.45	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,698.24 / $7,413.10	Professional		$741.31	$1,698.24	$7,413.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $14,791.08	Facility		$4,265.80	$7,762.47	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $10,232.93	Facility		$2,818.38	$10,232.93	$10,232.93
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 / $9,332.54	Facility		$977.24	$3,715.35	$9,332.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $4,073.80 / $12,022.64	Professional		$794.33	$4,073.80	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $1,348.96	Professional		$60.26	$79.43	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,760.83 / $13,803.84	Facility		$2,187.76	$6,760.83	$13,803.84