Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,281.00	Facility		$921.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,247.00 / $4,573.00 / $6,003.00	Professional		$2,247.00	$4,573.00	$6,003.00
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 $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $334.87 / $334.87 / $334.87	Facility		$334.87	$334.87	$334.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $334.87 / $2,024.00 / $2,530.00	Facility		$334.87	$2,024.00	$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 $259.14 / $750.00 / $750.00	Professional		$259.14	$750.00	$750.00