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 $258.27 / $395.23 / $495.77	Professional		$258.27	$395.23	$495.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27,006.14 / $27,006.14 / $27,006.14	Facility		$27,006.14	$27,006.14	$27,006.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,364.12 / $106,712.10 / $106,712.10	Facility		$1,364.12	$106,712.10	$106,712.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,624.08 / $2,847.12 / $3,143.33	Professional		$2,624.08	$2,847.12	$3,143.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $347.00 / $395.83 / $805.47	Facility		$347.00	$395.83	$805.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $347.00 / $347.64 / $15,626.00	Professional		$347.00	$347.64	$15,626.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $353.31 / $403.13 / $805.47	Facility		$353.31	$403.13	$805.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $347.64 / $347.64 / $347.64	Professional		$347.64	$347.64	$347.64
United Facility/Professional Facility Modifier Low / Median / High Price $7,503.00 / $19,002.00 / $40,083.00	Facility		$7,503.00	$19,002.00	$40,083.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.54 / $438.06 / $702.00	Professional		$330.54	$438.06	$702.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $347.00 / $392.32 / $478.66	Professional		$347.00	$392.32	$478.66