Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,804.00 / $12,742.00 / $19,713.80	Facility		$4,804.00	$12,742.00	$19,713.80
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $13,335.60 / $13,335.60 / $16,377.84	Facility		$13,335.60	$13,335.60	$16,377.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $2,765.57 / $12,757.05	Facility		$688.00	$2,765.57	$12,757.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,466.39 / $12,261.00 / $21,025.19	Facility		$7,466.39	$12,261.00	$21,025.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,811.20 / $27,517.28 / $27,517.28	Facility		$16,811.20	$27,517.28	$27,517.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8,690.44 / $14,453.56 / $24,948.61	Facility		$8,690.44	$14,453.56	$24,948.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,649.00 / $10,870.00 / $21,025.19	Facility		$7,649.00	$10,870.00	$21,025.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $9,739.52 / $22,266.98	Facility		$3,775.00	$9,739.52	$22,266.98