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 $575.44 / $1,995.26 / $6,025.60	Professional		$575.44	$1,995.26	$6,025.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $338.84 / $707.95	Facility		$173.78	$338.84	$707.95
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 $3,090.30 / $4,570.88 / $4,570.88	Professional		$3,090.30	$4,570.88	$4,570.88
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 / $3,311.31 / $12,022.64	Professional		$524.81	$3,311.31	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53