Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,730.00 / $12,941.00	Facility		$945.00	$3,730.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,247.00 / $4,573.00 / $6,003.00	Professional		$2,247.00	$4,573.00	$6,003.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.51 / $963.82 / $2,148.19	Facility		$518.51	$963.82	$2,148.19
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 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,709.52 / $5,709.52 / $5,709.52	Professional		$5,709.52	$5,709.52	$5,709.52
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 $2,042.00 / $2,042.00 / $4,336.00	Professional		$2,042.00	$2,042.00	$4,336.00
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
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $1,706.00 / $4,106.00	Facility		$405.00	$1,706.00	$4,106.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00