Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,174.90	Professional		$691.83	$794.33	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $19,054.61 / $38,018.94	Facility		$10,964.78	$19,054.61	$38,018.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $15,848.93 / $15,848.93	Facility		$15,848.93	$15,848.93	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,258.93	Professional		$457.09	$794.33	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $61,659.50	Facility		$54.95	$56.23	$61,659.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,025.60 / $6,025.60	Professional		$5,011.87	$6,025.60	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,511.89 / $8,511.38	Facility		$776.25	$2,511.89	$8,511.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,949.84	Professional		$691.83	$776.25	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $891.25 / $1,659.59	Facility		$691.83	$891.25	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $794.33 / $1,202.26	Professional		$281.84	$794.33	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,964.78 / $23,442.29	Facility		$4,365.16	$10,964.78	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,348.96	Professional		$616.60	$870.96	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $758.58	Professional		$724.44	$758.58	$758.58