Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $3,690.00 / $7,776.00	Facility		$3,600.00	$3,690.00	$7,776.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,690.00 / $3,825.00	Professional		$3,600.00	$3,690.00	$3,825.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,922.19 / $4,865.06 / $11,100.66	Facility		$1,922.19	$4,865.06	$11,100.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Facility		$3,825.00	$3,825.00	$3,825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,275.00 / $20,731.70 / $20,731.70	Facility		$4,275.00	$20,731.70	$20,731.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,100.00 / $17,100.00 / $20,250.00	Professional		$17,100.00	$17,100.00	$20,250.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $503.75 / $4,500.00 / $5,760.00	Facility		$503.75	$4,500.00	$5,760.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $361.31 / $361.31 / $3,375.00	Professional		$361.31	$361.31	$3,375.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $532.87 / $3,825.00 / $5,708.37	Facility		$532.87	$3,825.00	$5,708.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $3,798.75	Professional		$3,750.00	$3,750.00	$3,798.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $4,275.00 / $5,771.25	Professional		$3,750.00	$4,275.00	$5,771.25