Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,519.67 / $3,607.66 / $13,234.00	Facility		$3,519.67	$3,607.66	$13,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,519.67 / $3,607.66 / $3,739.65	Professional		$3,519.67	$3,607.66	$3,739.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.60 / $937.99 / $1,871.53	Facility		$370.60	$937.99	$1,871.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,695.66 / $3,695.66 / $3,695.66	Professional		$3,695.66	$3,695.66	$3,695.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Facility		$3,739.65	$3,739.65	$3,739.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Professional		$3,739.65	$3,739.65	$3,739.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,179.60 / $8,799.18 / $16,017.94	Facility		$4,179.60	$8,799.18	$16,017.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,231.51 / $16,718.43 / $19,221.53	Professional		$16,231.51	$16,718.43	$19,221.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,607.66 / $4,399.59 / $7,851.07	Facility		$3,607.66	$4,399.59	$7,851.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,597.62 / $2,597.62 / $2,597.62	Professional		$2,597.62	$2,597.62	$2,597.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,607.66 / $3,896.27 / $5,976.84	Facility		$3,607.66	$3,896.27	$5,976.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Professional		$3,739.65	$3,739.65	$3,739.65
United Facility/Professional Professional Modifier Low / Median / High Price $3,666.33 / $3,666.33 / $3,713.99	Professional		$3,666.33	$3,666.33	$3,713.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $424.18 / $572.64 / $3,666.33	Professional		$424.18	$572.64	$3,666.33