Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,810.58 / $4,663.25 / $15,091.40	Facility		$3,810.58	$4,663.25	$15,091.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,855.45 / $5,182.39	Professional		$3,817.28	$3,855.45	$5,182.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,802.23 / $7,092.44 / $14,151.26	Facility		$2,802.23	$7,092.44	$14,151.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,753.52 / $3,753.52 / $3,753.52	Professional		$3,753.52	$3,753.52	$3,753.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,601.20 / $3,817.28 / $3,817.28	Facility		$3,601.20	$3,817.28	$3,817.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,663.68 / $18,704.66 / $19,086.40	Facility		$4,663.68	$18,704.66	$19,086.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,772.85 / $5,458.71 / $5,622.47	Facility		$3,772.85	$5,458.71	$5,622.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,829.64 / $3,607.26 / $6,919.07	Professional		$2,829.64	$3,607.26	$6,919.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,601.20 / $3,817.28 / $5,513.29	Facility		$3,601.20	$3,817.28	$5,513.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,607.26 / $3,817.28 / $4,141.38	Professional		$3,607.26	$3,817.28	$4,141.38
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,249.43 / $4,249.43	Professional		$3,817.28	$4,249.43	$4,249.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,716.28 / $3,716.28 / $5,153.33	Professional		$3,716.28	$3,716.28	$5,153.33