Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Professional		$450.00	$450.00	$450.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.73 / $371.73 / $371.73	Professional		$371.73	$371.73	$371.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $793.40 / $2,384.42 / $2,384.42	Facility		$793.40	$2,384.42	$2,384.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $524.88 / $643.50	Facility		$450.00	$524.88	$643.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $425.19 / $425.19 / $437.40	Professional		$425.19	$425.19	$437.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $524.88 / $657.40	Facility		$450.00	$524.88	$657.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.73 / $425.19 / $630.89	Professional		$371.73	$425.19	$630.89
United Facility/Professional Professional Modifier Low / Median / High Price $348.89 / $491.39 / $701.98	Professional		$348.89	$491.39	$701.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $434.25 / $450.00 / $609.92	Professional		$434.25	$450.00	$609.92