Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $10,893.00	Facility		$732.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.52 / $524.25 / $648.13	Professional		$335.52	$524.25	$648.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,610.55 / $3,610.55 / $3,610.55	Facility		$3,610.55	$3,610.55	$3,610.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $561.36 / $14,266.70 / $14,266.70	Facility		$561.36	$14,266.70	$14,266.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,470.02 / $2,470.02 / $2,470.02	Professional		$2,470.02	$2,470.02	$2,470.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.27 / $524.25 / $1,547.92	Facility		$283.27	$524.25	$1,547.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.98 / $5,478.00 / $9,074.00	Professional		$236.98	$5,478.00	$9,074.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.07 / $545.35 / $1,547.92	Facility		$308.07	$545.35	$1,547.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.98 / $236.98 / $236.98	Professional		$236.98	$236.98	$236.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.01 / $770.01 / $1,246.68	Professional		$550.01	$770.01	$1,246.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,017.93 / $2,017.93 / $2,724.21	Professional		$2,017.93	$2,017.93	$2,724.21