Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.00 / $2,244.00 / $7,513.00	Facility		$647.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $322.39 / $3,792.00	Professional		$161.19	$322.39	$3,792.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.29 / $1,312.49 / $2,936.79	Facility		$751.29	$1,312.49	$2,936.79
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 $1,877.70 / $1,877.70 / $1,877.70	Professional		$1,877.70	$1,877.70	$1,877.70
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 $3,714.98 / $5,449.19 / $5,449.19	Professional		$3,714.98	$5,449.19	$5,449.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $837.17 / $837.17 / $837.17	Facility		$837.17	$837.17	$837.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $887.20 / $900.00 / $3,879.00	Professional		$887.20	$900.00	$3,879.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $837.17 / $2,024.00 / $2,530.00	Facility		$837.17	$2,024.00	$2,530.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,877.70 / $1,877.70 / $1,877.70	Professional		$1,877.70	$1,877.70	$1,877.70
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.38 / $750.00 / $750.00	Professional		$147.38	$750.00	$750.00