Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $13,489.63	Facility		$1,000.00	$3,715.35	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $3,235.94 / $6,165.95	Professional		$309.03	$3,235.94	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,000.00 / $2,089.30	Facility		$537.03	$1,000.00	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,511.89	Facility		$891.25	$891.25	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $56.23	Facility		$54.95	$56.23	$56.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,022.64	Facility		$977.24	$3,715.35	$12,022.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $3,235.94 / $6,165.95	Professional		$691.83	$3,235.94	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $831.76 / $912.01	Facility		$398.11	$831.76	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,621.81 / $4,168.69	Facility		$416.87	$1,621.81	$4,168.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15