Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $8,150.77 / $10,665.90	Facility		$4,686.85	$8,150.77	$10,665.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,733.72 / $6,539.38	Professional		$4,686.85	$4,733.72	$6,539.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,668.07 / $9,283.89 / $18,340.34	Facility		$3,668.07	$9,283.89	$18,340.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,421.56 / $4,686.85 / $4,686.85	Facility		$4,421.56	$4,686.85	$4,686.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,234.40 / $23,434.25 / $23,438.30	Facility		$6,234.40	$23,434.25	$23,438.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,835.10 / $4,686.85 / $6,903.27	Facility		$1,835.10	$4,686.85	$6,903.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,504.35 / $4,686.85 / $8,495.68	Professional		$3,504.35	$4,686.85	$8,495.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,431.61 / $4,686.85 / $6,769.22	Facility		$2,431.61	$4,686.85	$6,769.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,429.22 / $4,686.85 / $8,430.21	Professional		$4,429.22	$4,686.85	$8,430.21
United Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,657.58 / $4,657.58 / $6,327.25	Professional		$4,657.58	$4,657.58	$6,327.25