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 $239.88 / $524.81 / $776.25	Professional		$239.88	$524.81	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Facility		$14,125.38	$14,125.38	$14,125.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,778.28 / $6,918.31	Facility		$426.58	$1,778.28	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $524.81 / $851.14	Professional		$257.04	$524.81	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $562.34 / $1,148.15	Facility		$275.42	$562.34	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,803.84	Facility		$2,187.76	$6,606.93	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,230.27	Professional		$549.54	$776.25	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26