Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $12,882.50	Facility		$1,096.48	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,398.83 / $11,220.18	Professional		$977.24	$2,398.83	$11,220.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $338.84 / $724.44	Facility		$173.78	$338.84	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $56.23	Facility		$54.95	$56.23	$56.23
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 $1,000.00 / $3,630.78 / $11,481.54	Facility		$1,000.00	$3,630.78	$11,481.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $4,570.88 / $14,454.40	Professional		$977.24	$4,570.88	$14,454.40
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 $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53