Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,467.00 / $7,542.00	Facility		$657.00	$2,467.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $1,689.53 / $2,131.00	Professional		$400.00	$1,689.53	$2,131.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.13 / $264.02 / $592.79	Facility		$141.13	$264.02	$592.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,500.00 / $8,500.00 / $8,500.00	Professional		$8,500.00	$8,500.00	$8,500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,795.56 / $4,795.56 / $4,795.56	Facility		$4,795.56	$4,795.56	$4,795.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,795.56 / $4,795.56 / $4,795.56	Facility		$4,795.56	$4,795.56	$4,795.56
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00