Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $831.76	Professional		$416.87	$512.86	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $724.44	Professional		$426.58	$537.03	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,348.96	Professional		$501.19	$707.95	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,754.40	Facility		$54.95	$56.23	$5,754.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,096.48 / $6,918.31	Facility		$467.74	$1,096.48	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $831.76	Professional		$426.58	$616.60	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $676.08 / $1,380.38	Facility		$457.09	$676.08	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,258.93	Professional		$489.78	$707.95	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $912.01	Professional		$426.58	$616.60	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $489.78	Professional		$457.09	$457.09	$489.78