Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,047.13	Professional		$575.44	$891.25	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,715.35 / $4,265.80	Facility		$3,630.78	$3,715.35	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,202.26	Professional		$660.69	$812.83	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,709.64 / $8,709.64	Professional		$7,413.10	$8,709.64	$8,709.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,288.25 / $4,677.35	Facility		$724.44	$1,288.25	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,047.13	Professional		$660.69	$912.01	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,905.46	Facility		$724.44	$1,071.52	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,202.26	Professional		$1,000.00	$1,000.00	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,489.63	Facility		$2,187.76	$6,606.93	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,659.59	Professional		$794.33	$1,071.52	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25