Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $639.67 / $11,028.25 / $11,028.25	Facility		$639.67	$11,028.25	$11,028.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,397.00 / $1,397.00 / $2,367.00	Professional		$1,397.00	$1,397.00	$2,367.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.90 / $201.19 / $393.69	Facility		$94.90	$201.19	$393.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $314.95	Professional		$163.00	$163.00	$314.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.40 / $321.77 / $418.31	Facility		$154.40	$321.77	$418.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $273.68 / $273.68	Professional		$163.00	$273.68	$273.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,970.00 / $1,970.00 / $1,970.00	Facility		$1,970.00	$1,970.00	$1,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.72 / $118.44 / $196.78	Professional		$84.72	$118.44	$196.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $314.95 / $434.40	Professional		$137.97	$314.95	$434.40