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 / $10,893.00	Facility		$921.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,917.60 / $2,585.25 / $4,573.00	Professional		$1,917.60	$2,585.25	$4,573.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,039.81 / $7,181.89 / $14,646.14	Facility		$4,039.81	$7,181.89	$14,646.14
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,504.25 / $4,504.25 / $4,504.25	Professional		$4,504.25	$4,504.25	$4,504.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $10,160.00	Facility		$55.00	$10,160.00	$10,160.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,378.00 / $6,559.49 / $6,559.49	Professional		$4,378.00	$6,559.49	$6,559.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,478.00 / $5,478.00 / $9,074.00	Professional		$5,478.00	$5,478.00	$9,074.00
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
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,504.25 / $4,504.25 / $4,504.25	Professional		$4,504.25	$4,504.25	$4,504.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,648.00 / $13,237.00	Facility		$2,093.00	$5,648.00	$13,237.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00