Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,511.89 / $7,585.78	Facility		$870.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $1,096.48 / $4,786.30	Professional		$128.82	$1,096.48	$4,786.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,311.31 / $6,606.93	Facility		$1,584.89	$3,311.31	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,318.26	Facility		$891.25	$891.25	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Professional		$10,964.78	$10,964.78	$10,964.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,290.87 / $6,918.31	Facility		$630.96	$2,290.87	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,096.48 / $6,165.95	Professional		$524.81	$1,096.48	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,318.26	Facility		$891.25	$891.25	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $4,786.30	Facility		$676.08	$2,511.89	$4,786.30