Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $3,433.67 / $4,312.05	Facility		$2,016.42	$3,433.67	$4,312.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,036.59 / $2,240.23	Professional		$2,016.42	$2,036.59	$2,240.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,864.40 / $4,092.20 / $8,352.51	Facility		$1,864.40	$4,092.20	$8,352.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,134.28 / $2,134.28 / $2,134.28	Professional		$2,134.28	$2,134.28	$2,134.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.29 / $2,016.42 / $2,016.42	Facility		$1,902.29	$2,016.42	$2,016.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,560.91 / $9,626.15 / $10,082.10	Facility		$2,560.91	$9,626.15	$10,082.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,976.55 / $2,883.48 / $2,970.00	Facility		$1,976.55	$2,883.48	$2,970.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,482.41 / $2,016.42 / $3,655.08	Professional		$1,482.41	$2,016.42	$3,655.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,902.29 / $2,016.42 / $2,912.32	Facility		$1,902.29	$2,016.42	$2,912.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.57 / $2,016.42 / $3,496.58	Professional		$1,905.57	$2,016.42	$3,496.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Facility		$2,016.42	$2,016.42	$2,016.42
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,931.81 / $1,931.81 / $2,722.17	Professional		$1,931.81	$1,931.81	$2,722.17