Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,165.95 / $19,498.45	Facility		$1,778.28	$6,165.95	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $6,309.57	Professional		$4,897.79	$4,897.79	$6,309.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,019.95 / $5,754.40	Facility		$1,230.27	$3,019.95	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,897.79 / $4,897.79	Facility		$4,677.35	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,888.44 / $12,022.64	Facility		$4,897.79	$5,888.44	$12,022.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $4,897.79 / $5,370.32	Professional		$977.24	$4,897.79	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,168.69 / $7,244.36	Facility		$1,348.96	$4,168.69	$7,244.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,862.09	Professional		$1,348.96	$1,348.96	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,897.79 / $4,897.79	Facility		$1,047.13	$4,897.79	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79