Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $12,040.00	Facility		$732.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $287.56 / $287.56	Professional		$287.56	$287.56	$287.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $679.85 / $1,199.29 / $2,506.57	Facility		$679.85	$1,199.29	$2,506.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $373.83 / $816.21	Facility		$287.56	$373.83	$816.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,042.00 / $2,042.00 / $4,336.00	Professional		$2,042.00	$2,042.00	$4,336.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $373.83 / $816.21	Facility		$287.56	$373.83	$816.21
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,571.00	Facility		$371.00	$1,529.00	$3,571.00