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 / $10,639.00	Facility		$945.00	$3,682.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $1,648.00 / $10,836.00	Professional		$672.00	$1,648.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,156.99 / $7,492.25 / $14,694.48	Facility		$4,156.99	$7,492.25	$14,694.48
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 $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,077.02 / $3,077.02 / $6,766.69	Facility		$3,077.02	$3,077.02	$6,766.69
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 / $6,002.00 / $13,134.00	Facility		$2,093.00	$6,002.00	$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