Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $2,673.00 / $7,542.00	Facility		$662.00	$2,673.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.43 / $391.04 / $541.49	Professional		$283.43	$391.04	$541.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.30 / $1,408.30 / $1,408.30	Facility		$1,408.30	$1,408.30	$1,408.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,295.32 / $5,564.75 / $5,564.75	Facility		$1,295.32	$5,564.75	$5,564.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,490.88 / $2,560.16 / $2,985.38	Professional		$2,490.88	$2,560.16	$2,985.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $320.63 / $391.04 / $829.00	Facility		$320.63	$391.04	$829.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $320.63 / $330.08 / $3,879.00	Professional		$320.63	$330.08	$3,879.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.51 / $406.79 / $829.00	Facility		$328.51	$406.79	$829.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $312.08 / $511.54 / $601.80	Professional		$312.08	$511.54	$601.80
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,100.00 / $4,554.00	Facility		$564.00	$2,100.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.63 / $482.96 / $778.29	Professional		$349.63	$482.96	$778.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $320.63 / $418.13 / $443.96	Professional		$320.63	$418.13	$443.96