Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,019.95	Professional		$1,230.27	$1,819.70	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,128.31 / $12,022.64	Facility		$3,311.31	$8,128.31	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $8,317.64	Professional		$6,760.83	$6,760.83	$8,317.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility		$11,481.54	$11,481.54	$11,481.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Professional		$11,481.54	$11,481.54	$11,481.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,187.76 / $6,025.60	Facility		$741.31	$2,187.76	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $3,019.95	Professional		$1,096.48	$1,778.28	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $4,073.80	Facility		$1,548.82	$2,137.96	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,548.82	Professional		$1,513.56	$1,513.56	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $3,388.44	Professional		$1,479.11	$2,187.76	$3,388.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44