Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,220.17 / $4,325.67 / $15,867.80	Facility		$4,220.17	$4,325.67	$15,867.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,220.17 / $4,325.67 / $4,483.93	Professional		$4,220.17	$4,325.67	$4,483.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,349.51 / $10,114.15 / $20,797.49	Facility		$3,349.51	$10,114.15	$20,797.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Facility		$4,483.93	$4,483.93	$4,483.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $7,450.04 / $7,450.04	Facility		$4,483.93	$7,450.04	$7,450.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,220.54 / $10,220.54 / $11,487.38	Professional		$10,220.54	$10,220.54	$11,487.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,378.42 / $5,275.21 / $9,413.60	Facility		$4,378.42	$5,275.21	$9,413.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,241.33 / $1,241.33 / $1,241.33	Professional		$1,241.33	$1,241.33	$1,241.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,378.42 / $5,275.21 / $7,121.53	Facility		$4,378.42	$5,275.21	$7,121.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $5,275.21	Professional		$5,275.21	$5,275.21	$5,275.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,091.07 / $3,568.78 / $4,817.85	Professional		$1,091.07	$3,568.78	$4,817.85