Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,893.00	Facility		$969.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.19 / $1,725.03 / $1,865.58	Professional		$1,103.19	$1,725.03	$1,865.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27,288.16 / $33,392.64 / $34,352.32	Facility		$27,288.16	$33,392.64	$34,352.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,121.44 / $13,495.20 / $15,720.83	Professional		$13,121.44	$13,495.20	$15,720.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.51 / $1,976.96 / $3,581.76	Facility		$1,689.51	$1,976.96	$3,581.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,841.94 / $1,841.94 / $1,841.94	Professional		$1,841.94	$1,841.94	$1,841.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,689.51 / $1,976.96 / $3,581.76	Facility		$1,689.51	$1,976.96	$3,581.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,841.94 / $1,841.94 / $1,841.94	Professional		$1,841.94	$1,841.94	$1,841.94
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,182.18 / $1,565.71 / $2,424.94	Professional		$1,182.18	$1,565.71	$2,424.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,579.60 / $1,579.60 / $2,132.46	Professional		$1,579.60	$1,579.60	$2,132.46