Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,372.00 / $11,228.15	Facility		$1,152.00	$4,372.00	$11,228.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.22 / $1,660.14 / $2,620.00	Professional		$576.22	$1,660.14	$2,620.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.64 / $7,443.91 / $15,709.56	Facility		$4,108.64	$7,443.91	$15,709.56
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 $1,148.51 / $1,148.51 / $1,148.51	Professional		$1,148.51	$1,148.51	$1,148.51
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
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,099.50 / $2,470.00 / $4,050.80	Facility		$2,099.50	$2,470.00	$4,050.80
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 $1,148.51 / $1,148.51 / $1,148.51	Professional		$1,148.51	$1,148.51	$1,148.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $13,237.00	Facility		$2,093.00	$5,870.00	$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