Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $3,682.00 / $12,281.00	Facility		$1,068.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.86 / $1,811.41 / $1,829.52	Professional		$1,605.86	$1,811.41	$1,829.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,520.73 / $6,643.64 / $13,341.71	Facility		$3,520.73	$6,643.64	$13,341.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,611.44 / $5,611.44 / $5,611.44	Facility		$5,611.44	$5,611.44	$5,611.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.30 / $2,116.30 / $2,116.30	Professional		$2,116.30	$2,116.30	$2,116.30
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 $1,811.41 / $1,847.64 / $5,141.51	Facility		$1,811.41	$1,847.64	$5,141.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,663.00 / $4,663.00 / $5,830.00	Professional		$4,663.00	$4,663.00	$5,830.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,811.41 / $1,901.98 / $5,141.51	Facility		$1,811.41	$1,901.98	$5,141.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,116.30 / $2,116.30 / $2,116.30	Professional		$2,116.30	$2,116.30	$2,116.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,293.00 / $7,600.00	Facility		$1,154.00	$3,293.00	$7,600.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $46.10	Professional		$34.15	$34.15	$46.10