Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,900.19 / $3,269.97 / $6,960.46	Facility		$2,900.19	$3,269.97	$6,960.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,900.19 / $2,972.70 / $4,018.79	Professional		$2,900.19	$2,972.70	$4,018.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,485.41 / $6,290.57 / $12,427.05	Facility		$2,485.41	$6,290.57	$12,427.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,111.67 / $3,111.67 / $3,111.67	Professional		$3,111.67	$3,111.67	$3,111.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Facility		$3,081.45	$3,081.45	$3,081.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,443.98 / $14,232.44 / $14,522.90	Facility		$3,443.98	$14,232.44	$14,522.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $988.36 / $2,301.91 / $4,250.96	Facility		$988.36	$2,301.91	$4,250.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.99 / $1,992.87 / $2,718.93	Professional		$1,038.99	$1,992.87	$2,718.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,312.50 / $3,081.45 / $4,250.96	Facility		$1,312.50	$3,081.45	$4,250.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,649.53 / $3,081.45 / $3,081.45	Professional		$1,649.53	$3,081.45	$3,081.45
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $3,021.04	Professional		$3,021.04	$3,021.04	$3,021.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $4,078.40	Professional		$3,021.04	$3,021.04	$4,078.40