Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,467.00 / $7,513.00	Facility		$657.00	$2,467.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $1,686.00 / $4,573.00	Professional		$825.00	$1,686.00	$4,573.00
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
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 $161.00 / $1,058.00 / $2,827.00	Facility		$161.00	$1,058.00	$2,827.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.79 / $750.00 / $750.00	Professional		$217.79	$750.00	$750.00