Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,709.64 / $11,481.54	Facility		$4,786.30	$8,709.64	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $6,025.60	Professional		$4,786.30	$4,786.30	$6,025.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $8,912.51 / $16,982.44	Facility		$3,630.78	$8,912.51	$16,982.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,786.30 / $4,786.30	Facility		$4,466.84	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $23,442.29 / $23,442.29	Facility		$23,442.29	$23,442.29	$23,442.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $9,772.37	Facility		$4,786.30	$4,786.30	$9,772.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,786.30 / $5,248.07	Professional		$4,466.84	$4,786.30	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $15,135.61	Facility		$3,890.45	$6,760.83	$15,135.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $4,786.30	Facility		$3,890.45	$4,786.30	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30