Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,570.88 / $17,378.01	Facility		$1,202.26	$4,570.88	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $158.49 / $371.54	Professional		$47.86	$158.49	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $24,547.09 / $24,547.09 / $24,547.09	Facility		$24,547.09	$24,547.09	$24,547.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,235.94 / $3,235.94	Professional		$2,691.53	$3,235.94	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $3,235.94 / $12,882.50	Facility		$229.09	$3,235.94	$12,882.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $165.96 / $10,964.78	Professional		$48.98	$165.96	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $229.09 / $512.86	Facility		$54.95	$229.09	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,964.78 / $22,908.68	Facility		$4,365.16	$10,964.78	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $91.20	Professional		$41.69	$57.54	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $380.19	Professional		$346.74	$346.74	$380.19