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 / $13,004.00	Facility		$945.00	$3,682.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.74 / $1,293.47 / $1,384.29	Professional		$646.74	$1,293.47	$1,384.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.04 / $2,162.08 / $12,905.59	Facility		$1,081.04	$2,162.08	$12,905.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,857.00 / $3,857.00 / $3,857.00	Professional		$3,857.00	$3,857.00	$3,857.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,224.00 / $5,224.00 / $5,224.00	Professional		$5,224.00	$5,224.00	$5,224.00
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00