Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,184.79 / $2,184.79 / $17,261.75	Facility		$2,184.79	$2,184.79	$17,261.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.07 / $2,184.79 / $2,184.79	Professional		$1,857.07	$2,184.79	$2,184.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,358.02 / $3,437.15 / $6,858.00	Facility		$1,358.02	$3,437.15	$6,858.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,736.15 / $1,736.15 / $1,736.15	Professional		$1,736.15	$1,736.15	$1,736.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Facility		$2,039.14	$2,039.14	$2,039.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Professional		$2,039.14	$2,039.14	$2,039.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,075.55 / $9,193.40 / $9,193.40	Facility		$2,075.55	$9,193.40	$9,193.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,184.79 / $2,184.79 / $3,124.25	Facility		$2,184.79	$2,184.79	$3,124.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,788.94 / $2,039.14 / $3,124.25	Facility		$1,788.94	$2,039.14	$3,124.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Professional		$2,039.14	$2,039.14	$2,039.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,781.52 / $2,212.83 / $2,212.83	Professional		$1,781.52	$2,212.83	$2,212.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,820.66 / $1,820.66 / $2,457.89	Professional		$1,820.66	$1,820.66	$2,457.89