Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.00 / $3,445.00 / $10,893.00	Facility		$867.00	$3,445.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,844.97 / $5,253.70 / $5,801.38	Professional		$2,844.97	$5,253.70	$5,801.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42,398.84 / $66,194.92 / $74,877.44	Facility		$42,398.84	$66,194.92	$74,877.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $37,834.72 / $42,787.04 / $45,335.48	Professional		$37,834.72	$42,787.04	$45,335.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $686.02 / $5,486.38 / $10,576.40	Facility		$686.02	$5,486.38	$10,576.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $640.73 / $3,928.99 / $13,222.00	Professional		$640.73	$3,928.99	$13,222.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $696.06 / $5,502.10 / $11,137.84	Facility		$696.06	$5,502.10	$11,137.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,928.99 / $3,928.99 / $3,928.99	Professional		$3,928.99	$3,928.99	$3,928.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $861.09 / $1,193.60 / $2,032.61	Professional		$861.09	$1,193.60	$2,032.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,957.62 / $7,650.15 / $10,958.18	Professional		$1,957.62	$7,650.15	$10,958.18