Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $4,028.00 / $14,976.00	Facility		$983.00	$4,028.00	$14,976.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $154.74 / $370.09	Professional		$43.04	$154.74	$370.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,267.95 / $6,267.95 / $6,267.95	Facility		$6,267.95	$6,267.95	$6,267.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,743.70 / $24,767.20 / $24,767.20	Facility		$1,743.70	$24,767.20	$24,767.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,682.56 / $2,757.36 / $3,214.88	Professional		$2,682.56	$2,757.36	$3,214.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.74 / $328.05 / $456.90	Facility		$154.74	$328.05	$456.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.40 / $355.47 / $13,222.00	Professional		$346.40	$355.47	$13,222.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.74 / $328.05 / $460.69	Facility		$154.74	$328.05	$460.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $355.47 / $355.47 / $355.47	Professional		$355.47	$355.47	$355.47
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $57.96 / $93.37	Professional		$42.15	$57.96	$93.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.40 / $354.36 / $478.41	Professional		$346.40	$354.36	$478.41