Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $3,431.00 / $11,210.00	Facility		$880.00	$3,431.00	$11,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.00 / $3,840.00 / $12,767.00	Professional		$895.00	$3,840.00	$12,767.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.64 / $7,298.90 / $14,452.79	Facility		$4,108.64	$7,298.90	$14,452.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,800.00 / $2,800.00	Facility		$55.00	$2,800.00	$2,800.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,057.29 / $2,930.60 / $3,027.31	Professional		$2,057.29	$2,930.60	$3,027.31
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 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$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