Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,715.35 / $12,882.50	Facility		$1,122.02	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $1,819.70	Professional		$1,621.81	$1,819.70	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,760.83 / $13,489.63	Facility		$3,630.78	$6,760.83	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $22,387.21 / $22,387.21	Facility		$22,387.21	$22,387.21	$22,387.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,019.95 / $8,511.38	Facility		$1,000.00	$3,019.95	$8,511.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $4,365.16	Professional		$1,621.81	$1,819.70	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $4,570.88	Facility		$1,621.81	$1,862.09	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88