Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $10,890.50 / $13,932.60	Facility		$6,408.38	$10,890.50	$13,932.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,472.46 / $9,033.53	Professional		$6,408.38	$6,472.46	$9,033.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,722.43 / $9,529.42 / $18,798.27	Facility		$3,722.43	$9,529.42	$18,798.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.00 / $721.00 / $721.00	Professional		$721.00	$721.00	$721.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,045.64 / $6,408.38 / $6,408.38	Facility		$6,045.64	$6,408.38	$6,408.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,524.35 / $32,041.90 / $32,300.15	Facility		$8,524.35	$32,041.90	$32,300.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $6,454.57 / $9,438.90	Facility		$52.12	$6,454.57	$9,438.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,840.93 / $6,408.38 / $11,616.03	Professional		$4,840.93	$6,408.38	$11,616.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.73 / $6,408.38 / $9,163.98	Facility		$196.73	$6,408.38	$9,163.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,056.02 / $6,408.38 / $11,012.22	Professional		$6,056.02	$6,408.38	$11,012.22
United Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6,084.10 / $6,084.10 / $8,651.31	Professional		$6,084.10	$6,084.10	$8,651.31