Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.00 / $1,217.70 / $5,940.00	Facility		$1,188.00	$1,217.70	$5,940.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.00 / $1,217.70 / $1,262.25	Professional		$1,188.00	$1,217.70	$1,262.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,247.40 / $2,756.75 / $6,237.00	Facility		$1,247.40	$2,756.75	$6,237.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,247.40 / $1,247.40 / $1,247.40	Professional		$1,247.40	$1,247.40	$1,247.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.13 / $1,343.47 / $1,343.47	Facility		$1,318.13	$1,343.47	$1,343.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.25 / $1,262.25 / $1,336.50	Professional		$1,262.25	$1,262.25	$1,336.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,902.88 / $6,558.75 / $6,558.75	Facility		$5,902.88	$6,558.75	$6,558.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $1,262.25 / $1,311.75	Facility		$40.65	$1,262.25	$1,311.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,218.07 / $1,262.25 / $1,485.00	Professional		$1,218.07	$1,262.25	$1,485.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $1,262.25 / $1,318.13	Facility		$44.59	$1,262.25	$1,318.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,218.07 / $1,262.25 / $1,340.21	Professional		$1,218.07	$1,262.25	$1,340.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,237.50 / $1,237.50 / $1,670.63	Professional		$1,237.50	$1,237.50	$1,670.63