Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,011.87 / $10,000.00	Facility		$2,951.21	$5,011.87	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $3,630.78	Professional		$2,884.03	$2,951.21	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,309.57 / $11,481.54	Facility		$2,511.89	$6,309.57	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,548.13 / $6,918.31	Facility		$1,318.26	$3,548.13	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $3,090.30	Professional		$2,884.03	$2,951.21	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,467.37 / $9,772.37	Facility		$1,445.44	$3,467.37	$9,772.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $3,090.30	Professional		$2,041.74	$3,090.30	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95