Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $15,848.93 / $15,848.93	Facility		$4,265.80	$15,848.93	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,365.16 / $5,248.07	Professional		$4,265.80	$4,365.16	$5,248.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $10,000.00 / $19,498.45	Facility		$2,691.53	$10,000.00	$19,498.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $11,481.54 / $11,481.54	Professional		$10,232.93	$11,481.54	$11,481.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $15,848.93	Facility		$4,265.80	$5,248.07	$15,848.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,365.16 / $4,466.84	Professional		$4,265.80	$4,365.16	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $2,137.96 / $3,019.95	Professional		$44.67	$2,137.96	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $14,125.38	Facility		$4,265.80	$5,248.07	$14,125.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13