Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,682.00 / $12,281.00	Facility		$935.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.95 / $450.00 / $2,901.00	Professional		$380.95	$450.00	$2,901.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.62 / $1,328.20 / $3,112.24	Facility		$746.62	$1,328.20	$3,112.24
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 $3,095.82 / $6,783.00 / $6,783.00	Professional		$3,095.82	$6,783.00	$6,783.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,395.28 / $1,395.28 / $1,395.28	Facility		$1,395.28	$1,395.28	$1,395.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,330.00 / $3,330.00 / $3,879.00	Professional		$3,330.00	$3,330.00	$3,879.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $2,530.00	Facility		$900.00	$2,024.00	$2,530.00
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 $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00