Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,768.00 / $7,542.00	Facility		$803.00	$2,768.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.20 / $1,441.76 / $1,562.15	Professional		$1,059.20	$1,441.76	$1,562.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,996.94 / $13,996.94 / $14,454.42	Facility		$13,996.94	$13,996.94	$14,454.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,033.52 / $102,618.25 / $102,618.25	Facility		$8,033.52	$102,618.25	$102,618.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,302.08 / $10,796.72 / $12,345.15	Professional		$10,302.08	$10,796.72	$12,345.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,177.21 / $1,499.81 / $2,099.73	Facility		$1,177.21	$1,499.81	$2,099.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.01 / $1,364.84 / $15,626.00	Professional		$1,308.01	$1,364.84	$15,626.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,231.11 / $1,499.81 / $2,233.87	Facility		$1,231.11	$1,499.81	$2,233.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,364.84 / $1,364.84 / $2,009.51	Professional		$1,364.84	$1,364.84	$2,009.51
United Facility/Professional Facility Modifier Low / Median / High Price $6,051.00 / $12,393.00 / $29,939.00	Facility		$6,051.00	$12,393.00	$29,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,103.99 / $1,470.09 / $2,251.03	Professional		$1,103.99	$1,470.09	$2,251.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,308.01 / $1,368.48 / $1,826.58	Professional		$1,308.01	$1,368.48	$1,826.58