Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $6,309.57	Facility		$1,819.70	$3,162.28	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,290.87	Professional		$1,819.70	$1,819.70	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,951.21 / $5,623.41	Facility		$1,148.15	$2,951.21	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,819.70 / $1,819.70	Facility		$1,698.24	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $4,365.16	Facility		$1,819.70	$2,187.76	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,995.26	Professional		$1,819.70	$1,819.70	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,570.40 / $5,623.41	Facility		$1,202.26	$2,570.40	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,041.74	Professional		$1,621.81	$2,041.74	$2,041.74