Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,804.00 / $12,932.00 / $20,124.20	Facility		$4,804.00	$12,932.00	$20,124.20
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $17,426.81 / $17,426.81 / $17,426.81	Facility		$17,426.81	$17,426.81	$17,426.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $2,860.00 / $12,902.75	Facility		$688.00	$2,860.00	$12,902.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,621.79 / $12,366.55 / $21,462.81	Facility		$7,621.79	$12,366.55	$21,462.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,062.00 / $27,927.80 / $27,927.80	Facility		$17,062.00	$27,927.80	$27,927.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13,701.68 / $13,701.68 / $27,849.76	Facility		$13,701.68	$13,701.68	$27,849.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,808.00 / $11,096.25 / $21,462.81	Facility		$7,808.00	$11,096.25	$21,462.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $9,942.24 / $22,730.45	Facility		$3,800.00	$9,942.24	$22,730.45