Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $3,894.00 / $13,401.00	Facility		$1,198.00	$3,894.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.77 / $1,483.97 / $1,965.74	Professional		$1,248.77	$1,483.97	$1,965.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,705.96 / $23,788.45 / $23,788.45	Facility		$11,705.96	$23,788.45	$23,788.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,866.32 / $13,951.44 / $15,418.28	Professional		$12,866.32	$13,951.44	$15,418.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,323.70 / $1,669.27 / $2,529.67	Facility		$1,323.70	$1,669.27	$2,529.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,704.63 / $7,417.00 / $15,626.00	Professional		$1,704.63	$7,417.00	$15,626.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,255.34 / $1,565.23 / $2,529.67	Facility		$1,255.34	$1,565.23	$2,529.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,704.63 / $1,704.63 / $1,745.86	Professional		$1,704.63	$1,704.63	$1,745.86
United Facility/Professional Facility Modifier Low / Median / High Price $7,503.00 / $19,002.00 / $40,083.00	Facility		$7,503.00	$19,002.00	$40,083.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,440.14 / $1,989.95 / $2,845.87	Professional		$1,440.14	$1,989.95	$2,845.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,553.94 / $1,837.25 / $2,564.23	Professional		$1,553.94	$1,837.25	$2,564.23