Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,148.00 / $4,211.20	Facility		$1,120.00	$1,148.00	$4,211.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,148.00 / $1,190.00	Professional		$1,120.00	$1,148.00	$1,190.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Facility		$659.12	$659.12	$659.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,540.31 / $4,397.35 / $4,397.35	Facility		$1,540.31	$4,397.35	$4,397.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,908.43 / $4,908.43 / $6,780.38	Professional		$4,908.43	$4,908.43	$6,780.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,005.93 / $1,601.60 / $3,179.01	Facility		$1,005.93	$1,601.60	$3,179.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $732.70 / $732.70 / $732.70	Professional		$732.70	$732.70	$732.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $692.20 / $2,433.76	Facility		$659.12	$692.20	$2,433.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,400.00	Professional		$1,400.00	$1,400.00	$1,400.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $680.00 / $918.00	Professional		$680.00	$680.00	$918.00