Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $2,160.00 / $3,840.00	Facility		$1,440.00	$2,160.00	$3,840.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.00 / $1,476.00 / $1,490.76	Professional		$768.00	$1,476.00	$1,490.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,702.93 / $6,784.71 / $13,461.29	Facility		$2,702.93	$6,784.71	$13,461.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Facility		$816.00	$816.00	$816.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,740.19 / $14,196.10 / $14,196.10	Facility		$2,740.19	$14,196.10	$14,196.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.69 / $787.20 / $1,142.41	Facility		$44.69	$787.20	$1,142.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $79.73 / $2,067.76	Professional		$41.57	$79.73	$2,067.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.61 / $816.00 / $2,445.30	Facility		$52.61	$816.00	$2,445.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $816.00 / $2,067.76	Professional		$79.73	$816.00	$2,067.76
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Professional		$800.00	$800.00	$800.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,142.41 / $1,142.41 / $1,542.25	Professional		$1,142.41	$1,142.41	$1,542.25