Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,073.80 / $14,454.40	Facility		$1,096.48	$4,073.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $489.78	Professional		$257.04	$389.05	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $26,915.35 / $26,915.35	Facility		$26,915.35	$26,915.35	$26,915.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107,151.93 / $107,151.93 / $107,151.93	Facility		$107,151.93	$107,151.93	$107,151.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $3,162.28	Professional		$2,630.27	$3,162.28	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,041.74 / $9,120.11	Facility		$398.11	$2,041.74	$9,120.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $4,570.88	Professional		$316.23	$389.05	$4,570.88
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 $331.13 / $446.68 / $831.76	Facility		$331.13	$446.68	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $21,379.62 / $45,708.82	Facility		$7,585.78	$21,379.62	$45,708.82
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $707.95	Professional		$323.59	$446.68	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $380.19	Professional		$346.74	$346.74	$380.19