Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,736.91 / $2,736.91 / $5,620.66	Facility		$2,736.91	$2,736.91	$5,620.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.37 / $2,736.91 / $2,736.91	Professional		$2,326.37	$2,736.91	$2,736.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,235.33 / $3,742.89 / $8,175.27	Facility		$1,235.33	$3,742.89	$8,175.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,248.05 / $2,248.05 / $2,248.05	Professional		$2,248.05	$2,248.05	$2,248.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Facility		$2,554.44	$2,554.44	$2,554.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $2,554.44 / $2,554.44	Professional		$116.00	$2,554.44	$2,554.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,600.06 / $11,572.92 / $11,809.10	Facility		$2,600.06	$11,572.92	$11,809.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.75 / $2,736.91 / $3,913.78	Facility		$103.75	$2,736.91	$3,913.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $94.15 / $94.15	Professional		$94.15	$94.15	$94.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.49 / $2,554.44 / $3,913.78	Facility		$265.49	$2,554.44	$3,913.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $2,554.44 / $2,554.44	Professional		$116.00	$2,554.44	$2,554.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,750.19 / $3,719.51 / $3,719.51	Facility		$2,750.19	$3,719.51	$3,719.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,231.71 / $2,736.91 / $2,772.03	Professional		$2,231.71	$2,736.91	$2,772.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.41 / $149.05 / $2,182.57	Professional		$110.41	$149.05	$2,182.57