Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,643.00 / $10,836.00	Facility		$935.00	$3,643.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,098.00 / $4,076.00 / $7,773.00	Professional		$2,098.00	$4,076.00	$7,773.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,039.81 / $7,181.89 / $14,646.14	Facility		$4,039.81	$7,181.89	$14,646.14
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 $1,573.64 / $1,573.64 / $2,316.85	Professional		$1,573.64	$1,573.64	$2,316.85
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
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,106.24 / $1,806.78 / $1,806.78	Professional		$1,106.24	$1,806.78	$1,806.78
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 $1,573.64 / $1,573.64 / $2,316.85	Professional		$1,573.64	$1,573.64	$2,316.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,483.00 / $13,237.00	Facility		$2,093.00	$5,483.00	$13,237.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $611.77 / $750.00 / $750.00	Professional		$611.77	$750.00	$750.00