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 / $12,040.00	Facility		$945.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $4,573.00 / $6,000.00	Professional		$77.00	$4,573.00	$6,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.22 / $319.70 / $705.08	Facility		$164.22	$319.70	$705.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $4,619.00	Facility		$900.00	$2,277.00	$4,619.00
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 $965.00 / $1,644.00 / $1,644.00	Professional		$965.00	$1,644.00	$1,644.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $2,530.00	Facility		$900.00	$2,277.00	$2,530.00
United Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $919.00 / $2,290.00	Facility		$146.00	$919.00	$2,290.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $249.67 / $750.00 / $750.00	Professional		$249.67	$750.00	$750.00