Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.91 / $2,594.00 / $7,542.00	Facility		$669.91	$2,594.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.25 / $624.32 / $811.59	Professional		$253.25	$624.32	$811.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,108.64 / $5,086.85 / $9,388.71	Facility		$3,108.64	$5,086.85	$9,388.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.02 / $532.02 / $532.02	Professional		$532.02	$532.02	$532.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.78 / $396.71 / $752.72	Professional		$199.78	$396.71	$752.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,388.90	Facility		$55.00	$55.00	$9,388.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,914.08 / $3,914.08 / $3,914.08	Professional		$3,914.08	$3,914.08	$3,914.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.71 / $683.13 / $1,507.30	Facility		$208.71	$683.13	$1,507.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $611.83	Professional		$171.15	$171.15	$611.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.27 / $687.14 / $1,736.08	Facility		$194.27	$687.14	$1,736.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $233.24 / $749.79	Professional		$49.02	$233.24	$749.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.80 / $739.34 / $1,144.22	Professional		$504.80	$739.34	$1,144.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.11 / $611.83 / $846.96	Professional		$106.11	$611.83	$846.96