Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,448.96 / $5,585.18 / $20,488.09	Facility		$5,448.96	$5,585.18	$20,488.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,854.52 / $5,585.18 / $5,585.18	Professional		$3,854.52	$5,585.18	$5,585.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,653.30 / $14,308.50 / $28,549.17	Facility		$5,653.30	$14,308.50	$28,549.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,986.10 / $3,986.10 / $3,986.10	Professional		$3,986.10	$3,986.10	$3,986.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,381.59 / $35,376.98 / $35,376.98	Facility		$9,381.59	$35,376.98	$35,376.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $38,920.43 / $38,920.43 / $38,920.43	Professional		$38,920.43	$38,920.43	$38,920.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,854.52 / $4,644.00 / $8,997.00	Facility		$3,854.52	$4,644.00	$8,997.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,604.23 / $5,604.23 / $5,604.23	Professional		$5,604.23	$5,604.23	$5,604.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $4,644.00 / $8,997.00	Facility		$3,947.40	$4,644.00	$8,997.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $3,920.31	Professional		$3,870.00	$3,870.00	$3,920.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,411.80 / $5,789.52 / $5,955.93	Professional		$4,411.80	$5,789.52	$5,955.93