Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,168.22 / $7,604.97 / $11,610.30	Facility		$5,168.22	$7,604.97	$11,610.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,219.91 / $6,953.82	Professional		$5,168.22	$5,219.91	$6,953.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,816.00 / $9,670.95 / $19,066.79	Facility		$3,816.00	$9,670.95	$19,066.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,875.68 / $5,168.22 / $5,168.22	Facility		$4,875.68	$5,168.22	$5,168.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,609.15 / $25,324.33 / $25,841.15	Facility		$6,609.15	$25,324.33	$25,841.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $505.68 / $5,168.22 / $7,612.29	Facility		$505.68	$5,168.22	$7,612.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,726.44 / $5,168.22 / $9,368.10	Professional		$3,726.44	$5,168.22	$9,368.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,090.96 / $5,168.22 / $7,464.47	Facility		$1,090.96	$5,168.22	$7,464.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,884.07 / $5,168.22 / $9,176.66	Professional		$4,884.07	$5,168.22	$9,176.66
United Facility/Professional Facility Modifier Low / Median / High Price $4,968.58 / $4,968.58 / $4,968.58	Facility		$4,968.58	$4,968.58	$4,968.58
United Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,968.58 / $5,069.97 / $6,977.11	Professional		$4,968.58	$5,069.97	$6,977.11