Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,022.64	Facility		$977.24	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $4,897.79 / $5,623.41	Professional		$1,258.93	$4,897.79	$5,623.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66,069.34 / $66,069.34 / $66,069.34	Facility		$66,069.34	$66,069.34	$66,069.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $38,018.94 / $45,708.82 / $45,708.82	Professional		$38,018.94	$45,708.82	$45,708.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,715.35 / $10,471.29	Facility		$812.83	$3,715.35	$10,471.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $5,248.07 / $5,754.40	Professional		$1,258.93	$5,248.07	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,248.07 / $11,481.54	Facility		$1,318.26	$5,248.07	$11,481.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,964.78 / $23,442.29	Facility		$4,365.16	$10,964.78	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,995.26	Professional		$831.76	$1,122.02	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $8,128.31	Professional		$7,585.78	$7,585.78	$8,128.31