Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,711.76 / $10,836.00	Facility		$969.00	$3,711.76	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,552.32 / $4,098.74 / $6,692.18	Professional		$3,552.32	$4,098.74	$6,692.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,075.51 / $6,749.03 / $12,173.89	Facility		$3,075.51	$6,749.03	$12,173.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,900.00 / $14,000.00 / $14,000.00	Professional		$11,900.00	$14,000.00	$14,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,886.94 / $4,716.63 / $6,895.14	Professional		$3,886.94	$4,716.63	$6,895.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $37,475.51	Facility		$55.00	$55.00	$37,475.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,924.00 / $29,452.16 / $33,531.60	Professional		$28,924.00	$29,452.16	$33,531.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,552.32 / $4,973.25 / $10,082.91	Facility		$3,552.32	$4,973.25	$10,082.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,902.04 / $3,902.04 / $3,902.04	Professional		$3,902.04	$3,902.04	$3,902.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,552.32 / $5,072.64 / $10,082.91	Facility		$3,552.32	$5,072.64	$10,082.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,902.04 / $4,763.41 / $7,048.96	Professional		$3,902.04	$4,763.41	$7,048.96
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,100.53 / $4,263.22 / $6,751.40	Professional		$3,100.53	$4,263.22	$6,751.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,330.82 / $3,821.11 / $5,158.50	Professional		$3,330.82	$3,821.11	$5,158.50