Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,849.00 / $13,004.00	Facility		$945.00	$3,849.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.69 / $355.38 / $445.22	Professional		$234.69	$355.38	$445.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,256.97 / $30,256.97 / $30,256.97	Facility		$30,256.97	$30,256.97	$30,256.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,361.68 / $119,557.40 / $119,557.40	Facility		$1,361.68	$119,557.40	$119,557.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,619.12 / $2,693.36 / $3,137.93	Professional		$2,619.12	$2,693.36	$3,137.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $332.83 / $370.12 / $724.23	Facility		$332.83	$370.12	$724.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $332.83 / $347.01 / $15,626.00	Professional		$332.83	$347.01	$15,626.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.83 / $375.98 / $724.23	Facility		$338.83	$375.98	$724.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $347.01 / $347.01 / $347.01	Professional		$347.01	$347.01	$347.01
United Facility/Professional Facility Modifier Low / Median / High Price $7,705.00 / $20,000.00 / $44,541.00	Facility		$7,705.00	$20,000.00	$44,541.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.44 / $398.27 / $662.12	Professional		$303.44	$398.27	$662.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $332.83 / $398.98 / $459.05	Professional		$332.83	$398.98	$459.05