Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,750.16 / $10,836.00	Facility		$969.00	$3,750.16	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,526.64 / $4,125.18 / $5,648.49	Professional		$3,526.64	$4,125.18	$5,648.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,686.50 / $4,829.66 / $9,689.51	Facility		$2,686.50	$4,829.66	$9,689.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,724.33 / $5,724.33 / $5,724.33	Professional		$5,724.33	$5,724.33	$5,724.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,103.38 / $4,979.34 / $7,276.13	Professional		$4,103.38	$4,979.34	$7,276.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $39,561.68	Facility		$55.00	$55.00	$39,561.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,534.80 / $31,091.60 / $35,399.03	Professional		$30,534.80	$31,091.60	$35,399.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,644.19 / $5,099.12 / $10,644.45	Facility		$3,644.19	$5,099.12	$10,644.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,119.27 / $4,119.27 / $4,119.27	Professional		$4,119.27	$4,119.27	$4,119.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,644.19 / $5,327.71 / $10,644.45	Facility		$3,644.19	$5,327.71	$10,644.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,119.27 / $5,028.66 / $7,441.74	Professional		$4,119.27	$5,028.66	$7,441.74
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 $3,093.34 / $4,296.05 / $6,955.52	Professional		$3,093.34	$4,296.05	$6,955.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,330.82 / $4,033.80 / $5,445.63	Professional		$3,330.82	$4,033.80	$5,445.63