Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,682.00 / $14,449.00	Facility		$803.00	$3,682.00	$14,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.19 / $514.94 / $645.35	Professional		$336.19	$514.94	$645.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,804.61 / $2,804.61 / $2,804.61	Facility		$2,804.61	$2,804.61	$2,804.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,242.44 / $11,082.10 / $11,082.10	Facility		$2,242.44	$11,082.10	$11,082.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,708.24 / $5,818.24 / $5,818.24	Professional		$3,708.24	$5,818.24	$5,818.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $451.35 / $523.51 / $1,049.42	Facility		$451.35	$523.51	$1,049.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $451.35 / $770.82 / $6,634.00	Professional		$451.35	$770.82	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $459.20 / $536.33 / $1,049.42	Facility		$459.20	$536.33	$1,049.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $770.82 / $1,471.19 / $1,471.19	Professional		$770.82	$1,471.19	$1,471.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.71 / $578.74 / $927.01	Professional		$439.71	$578.74	$927.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $451.35 / $519.13 / $622.09	Professional		$451.35	$519.13	$622.09