Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $3,596.00 / $10,836.00	Facility		$791.70	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $1,166.83	Professional		$791.70	$791.70	$1,166.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,275.47 / $2,178.19 / $9,835.66	Facility		$1,275.47	$2,178.19	$9,835.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $992.88 / $992.88 / $992.88	Professional		$992.88	$992.88	$992.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.17 / $1,177.74 / $2,238.12	Professional		$558.17	$1,177.74	$2,238.12
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 $7,127.82 / $7,127.82 / $7,127.82	Professional		$7,127.82	$7,127.82	$7,127.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $1,136.68 / $2,247.16	Facility		$791.70	$1,136.68	$2,247.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $1,136.68 / $2,247.16	Facility		$791.70	$1,136.68	$2,247.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $1,064.49 / $2,238.12	Professional		$434.00	$1,064.49	$2,238.12
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,000.00 / $8,759.00	Facility		$385.00	$2,000.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.71 / $1,098.46 / $1,697.62	Professional		$781.71	$1,098.46	$1,697.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $885.57 / $885.57 / $1,195.52	Professional		$885.57	$885.57	$1,195.52