Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $660.69 / $676.08	Facility		$223.87	$660.69	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,778.28	Professional		$602.56	$812.83	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,630.78 / $5,888.44	Facility		$1,348.96	$3,630.78	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,548.13 / $5,495.41	Facility		$1,122.02	$3,548.13	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,584.89	Professional		$812.83	$933.25	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,737.80	Facility		$660.69	$1,000.00	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,819.70	Professional		$602.56	$776.25	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $891.25	Professional		$776.25	$776.25	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,258.93 / $5,128.61	Facility		$660.69	$1,258.93	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,258.93	Professional		$851.14	$933.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $2,570.40	Facility		$1,023.29	$1,949.84	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,479.11	Professional		$741.31	$1,122.02	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $891.25	Professional		$812.83	$812.83	$891.25