Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,578.00 / $7,495.00	Facility		$652.00	$2,578.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $464.63 / $677.62	Professional		$400.00	$464.63	$677.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.13 / $264.02 / $592.79	Facility		$141.13	$264.02	$592.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.78 / $595.98 / $872.38	Professional		$488.78	$595.98	$872.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,699.90	Facility		$55.00	$55.00	$2,699.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,868.88 / $4,003.04 / $4,638.00	Professional		$3,868.88	$4,003.04	$4,638.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $413.51 / $578.91 / $1,490.81	Facility		$413.51	$578.91	$1,490.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $512.53	Professional		$100.00	$100.00	$512.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.83 / $587.52 / $1,490.81	Facility		$422.83	$587.52	$1,490.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.69 / $638.08 / $915.50	Professional		$507.69	$638.08	$915.50
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