Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $10,836.00	Facility		$945.00	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.00 / $4,583.00 / $12,281.00	Professional		$1,093.00	$4,583.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.47 / $7,298.90 / $14,501.13	Facility		$4,046.47	$7,298.90	$14,501.13
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 $4,096.39 / $5,833.66 / $6,026.17	Professional		$4,096.39	$5,833.66	$6,026.17
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
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00