Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.26 / $1,459.27 / $3,106.22	Facility		$1,294.26	$1,459.27	$3,106.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.26 / $1,326.61 / $1,793.46	Professional		$1,294.26	$1,326.61	$1,793.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.18 / $3,168.22 / $6,538.67	Facility		$1,348.18	$3,168.22	$6,538.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.18 / $1,348.18 / $1,348.18	Professional		$1,348.18	$1,348.18	$1,348.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Facility		$1,429.07	$1,429.07	$1,429.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Professional		$1,429.07	$1,429.07	$1,429.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,485.60 / $6,076.00 / $6,076.00	Facility		$1,485.60	$6,076.00	$6,076.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $463.45 / $1,326.61 / $1,897.05	Facility		$463.45	$1,326.61	$1,897.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $527.90 / $1,012.55 / $1,213.36	Professional		$527.90	$1,012.55	$1,213.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.94 / $1,429.07 / $1,897.05	Facility		$573.94	$1,429.07	$1,897.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $838.11 / $1,429.07 / $1,429.07	Professional		$838.11	$1,429.07	$1,429.07
United Facility/Professional Facility Modifier Low / Median / High Price $681.52 / $921.72 / $921.72	Facility		$681.52	$921.72	$921.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $1,388.63	Professional		$1,388.63	$1,388.63	$1,388.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,929.24	Professional		$1,429.07	$1,429.07	$1,929.24