Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,188.00 / $10,893.00	Facility		$748.00	$3,188.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $517.50 / $672.75	Professional		$517.50	$517.50	$672.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.73 / $832.78 / $4,243.09	Facility		$478.73	$832.78	$4,243.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.66 / $372.66 / $372.66	Professional		$372.66	$372.66	$372.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $520.00 / $944.03	Professional		$310.00	$520.00	$944.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $2,000.00	Facility		$55.00	$2,000.00	$2,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,755.60 / $4,308.85 / $4,481.21	Professional		$2,755.60	$4,308.85	$4,481.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $517.50 / $543.38 / $1,468.87	Facility		$517.50	$543.38	$1,468.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,478.00 / $5,478.00 / $9,074.00	Professional		$5,478.00	$5,478.00	$9,074.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $517.50 / $543.38 / $1,468.87	Facility		$517.50	$543.38	$1,468.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $440.00 / $765.00	Professional		$310.00	$440.00	$765.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.70 / $908.00 / $908.00	Professional		$435.70	$908.00	$908.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.97 / $1,047.97 / $1,414.76	Professional		$1,047.97	$1,047.97	$1,414.76