Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.00 / $2,410.00 / $7,513.00	Facility		$689.00	$2,410.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.00 / $2,899.00 / $12,040.00	Professional		$689.00	$2,899.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,205.33 / $7,347.24 / $14,597.80	Facility		$4,205.33	$7,347.24	$14,597.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.76 / $630.76 / $630.76	Professional		$630.76	$630.76	$630.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,994.50 / $10,994.50 / $10,994.50	Professional		$10,994.50	$10,994.50	$10,994.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,478.00 / $5,478.00 / $10,096.00	Professional		$5,478.00	$5,478.00	$10,096.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.76 / $630.76 / $630.76	Professional		$630.76	$630.76	$630.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,996.00 / $16,194.00	Facility		$2,614.00	$7,996.00	$16,194.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00