Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $10,893.00	Facility		$732.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.21 / $619.22 / $935.00	Professional		$376.21	$619.22	$935.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,104.15 / $1,431.12 / $5,602.48	Facility		$1,104.15	$1,431.12	$5,602.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,345.05 / $7,345.05 / $7,345.05	Professional		$7,345.05	$7,345.05	$7,345.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $613.33 / $999.26 / $1,377.95	Facility		$613.33	$999.26	$1,377.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $465.05 / $465.05 / $1,004.76	Professional		$465.05	$465.05	$1,004.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $561.32 / $912.37 / $1,379.03	Facility		$561.32	$912.37	$1,379.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $465.05 / $465.05 / $465.05	Professional		$465.05	$465.05	$465.05
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.02 / $785.31 / $1,335.03	Professional		$479.02	$785.31	$1,335.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $254.70 / $1,004.76 / $1,432.07	Professional		$254.70	$1,004.76	$1,432.07