Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $10,893.00	Facility		$945.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.54 / $1,447.72 / $1,760.74	Professional		$878.54	$1,447.72	$1,760.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,206.88 / $5,147.92 / $5,298.80	Facility		$4,206.88	$5,147.92	$5,298.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,018.38 / $7,018.38 / $7,018.38	Professional		$7,018.38	$7,018.38	$7,018.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $546.27 / $1,088.30 / $3,069.17	Facility		$546.27	$1,088.30	$3,069.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $533.44 / $536.03 / $5,830.00	Professional		$533.44	$536.03	$5,830.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $561.23 / $1,447.72 / $4,274.68	Facility		$561.23	$1,447.72	$4,274.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $536.03 / $536.03 / $536.03	Professional		$536.03	$536.03	$536.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.11 / $2,191.37 / $3,386.66	Professional		$1,494.11	$2,191.37	$3,386.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $533.44 / $572.79 / $1,752.28	Professional		$533.44	$572.79	$1,752.28