Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $7,413.10	Professional		$616.60	$1,047.13	$7,413.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $6,606.93	Facility		$1,621.81	$3,235.94	$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 $54.95 / $56.23 / $56.23	Facility		$54.95	$56.23	$56.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $10,471.29	Facility		$977.24	$3,715.35	$10,471.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $12,022.64	Professional		$616.60	$1,047.13	$12,022.64
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