Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $10,836.00	Facility		$945.00	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.00 / $2,358.00 / $4,797.00	Professional		$789.00	$2,358.00	$4,797.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,156.99 / $7,588.92 / $14,908.04	Facility		$4,156.99	$7,588.92	$14,908.04
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 / $2,800.00 / $2,800.00	Facility		$55.00	$2,800.00	$2,800.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,903.50 / $5,478.00 / $9,074.00	Professional		$1,903.50	$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
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