Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,090.30 / $6,165.95	Professional		$1,000.00	$3,090.30	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $331.13 / $707.95	Facility		$173.78	$331.13	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,511.89	Facility		$891.25	$891.25	$2,511.89
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 $870.96 / $3,548.13 / $8,912.51	Facility		$870.96	$3,548.13	$8,912.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $3,235.94 / $6,165.95	Professional		$794.33	$3,235.94	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $363.08 / $1,348.96	Facility		$331.13	$363.08	$1,348.96
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 $151.36 / $1,047.13 / $2,691.53	Facility		$151.36	$1,047.13	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04