Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.00 / $3,982.00 / $11,210.00	Facility		$1,062.00	$3,982.00	$11,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $2,425.50 / $8,039.00	Professional		$975.00	$2,425.50	$8,039.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.64 / $7,341.00 / $14,452.79	Facility		$4,108.64	$7,341.00	$14,452.79
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 $3,469.00 / $3,469.00 / $3,469.00	Professional		$3,469.00	$3,469.00	$3,469.00
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