Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,936.39 / $2,071.30 / $7,598.13	Facility		$1,936.39	$2,071.30	$7,598.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,020.78 / $2,071.30 / $2,147.08	Professional		$2,020.78	$2,071.30	$2,147.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,780.97 / $4,507.64 / $8,993.90	Facility		$1,780.97	$4,507.64	$8,993.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,121.82 / $2,121.82 / $2,121.82	Professional		$2,121.82	$2,121.82	$2,121.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Facility		$2,147.08	$2,147.08	$2,147.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Professional		$2,147.08	$2,147.08	$2,147.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,399.67 / $5,051.96 / $9,472.43	Facility		$2,399.67	$5,051.96	$9,472.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,840.93 / $9,598.71 / $11,366.91	Professional		$8,840.93	$9,598.71	$11,366.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.33 / $2,525.98 / $4,391.16	Facility		$389.33	$2,525.98	$4,391.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $279.39 / $279.39 / $2,399.67	Professional		$279.39	$279.39	$2,399.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.86 / $2,147.08 / $3,410.07	Facility		$410.86	$2,147.08	$3,410.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Professional		$2,147.08	$2,147.08	$2,147.08
United Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,104.98 / $2,132.34	Professional		$2,104.98	$2,104.98	$2,132.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,399.67 / $3,239.57	Professional		$2,104.98	$2,399.67	$3,239.57