Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $12,882.50	Facility		$1,096.48	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $10,964.78 / $10,964.78	Professional		$1,096.48	$10,964.78	$10,964.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $16,218.10 / $32,359.37	Facility		$9,332.54	$16,218.10	$32,359.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility		$10,964.78	$10,964.78	$10,964.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42,657.95 / $42,657.95 / $42,657.95	Facility		$42,657.95	$42,657.95	$42,657.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,548.13 / $12,022.64	Facility		$1,000.00	$3,548.13	$12,022.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $8,709.64 / $21,379.62	Professional		$1,000.00	$8,709.64	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $3,630.78	Professional		$407.38	$446.68	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $18,620.87	Facility		$10,964.78	$10,964.78	$18,620.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,964.78 / $23,442.29	Facility		$4,365.16	$10,964.78	$23,442.29