Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,123.00 / $5,026.67 / $9,964.12	Facility		$3,123.00	$5,026.67	$9,964.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,904.07 / $5,026.67 / $5,210.58	Professional		$4,904.07	$5,026.67	$5,210.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,880.56 / $14,883.70 / $29,696.83	Facility		$5,880.56	$14,883.70	$29,696.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,149.28 / $5,149.28 / $5,149.28	Professional		$5,149.28	$5,149.28	$5,149.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Facility		$5,210.58	$5,210.58	$5,210.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Professional		$5,210.58	$5,210.58	$5,210.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,823.59 / $12,260.18 / $21,893.18	Facility		$5,823.59	$12,260.18	$21,893.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,185.08 / $23,294.34 / $26,271.81	Professional		$22,185.08	$23,294.34	$26,271.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,904.07 / $6,130.09 / $10,939.14	Facility		$4,904.07	$6,130.09	$10,939.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.71 / $2,047.71 / $2,047.71	Professional		$2,047.71	$2,047.71	$2,047.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,026.67 / $6,130.09 / $9,710.54	Facility		$5,026.67	$6,130.09	$9,710.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Professional		$5,210.58	$5,210.58	$5,210.58
United Facility/Professional Professional Modifier Low / Median / High Price $5,108.41 / $5,108.41 / $5,174.82	Professional		$5,108.41	$5,108.41	$5,174.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,108.41 / $5,823.59 / $7,861.85	Professional		$5,108.41	$5,823.59	$7,861.85