Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,439.00 / $5,158.50 / $14,400.00	Facility		$3,439.00	$5,158.50	$14,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,439.00 / $3,705.48 / $5,795.56	Professional		$3,439.00	$3,705.48	$5,795.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,936.00 / $40,334.01 / $80,476.80	Facility		$15,936.00	$40,334.01	$80,476.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $16,960.00	Facility		$16,320.00	$16,960.00	$16,960.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $16,960.00 / $16,960.00	Professional		$16,320.00	$16,960.00	$16,960.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,200.00 / $26,288.00 / $26,288.00	Facility		$19,200.00	$26,288.00	$26,288.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,705.48 / $16,320.00 / $16,960.00	Facility		$3,705.48	$16,320.00	$16,960.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,879.01 / $16,320.00 / $19,200.00	Professional		$3,879.01	$16,320.00	$19,200.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,104.70 / $16,320.00 / $16,960.00	Facility		$4,104.70	$16,320.00	$16,960.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $15,748.80 / $16,960.00 / $16,960.00	Professional		$15,748.80	$16,960.00	$16,960.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,680.00 / $19,200.00 / $19,200.00	Professional		$7,680.00	$19,200.00	$19,200.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16,320.00 / $16,320.00 / $22,032.00	Professional		$16,320.00	$16,320.00	$22,032.00