Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $2,673.00 / $7,542.00	Facility		$662.00	$2,673.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.03 / $138.10 / $149.44	Professional		$131.03	$138.10	$149.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $112.37 / $180.28	Professional		$107.54	$112.37	$180.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $303.73 / $705.04 / $705.04	Facility		$303.73	$705.04	$705.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $769.00 / $781.34 / $1,207.20	Professional		$769.00	$781.34	$1,207.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.10 / $161.41 / $292.77	Facility		$138.10	$161.41	$292.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.54 / $133.54 / $135.10	Professional		$133.54	$133.54	$135.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.49 / $173.60 / $292.77	Facility		$138.49	$173.60	$292.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $112.55 / $180.28	Professional		$107.54	$112.55	$180.28
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $154.10 / $230.58	Professional		$123.28	$154.10	$230.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $135.10 / $185.80	Professional		$96.75	$135.10	$185.80