Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,219.00 / $11,453.00	Facility		$767.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $214.85 / $232.95	Professional		$139.77	$214.85	$232.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $44.75 / $44.75	Professional		$44.75	$44.75	$44.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $367.29 / $743.89 / $826.41	Facility		$367.29	$743.89	$826.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.63 / $1,308.32 / $1,332.23	Professional		$1,302.63	$1,308.32	$1,332.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.59 / $214.85 / $328.63	Facility		$162.59	$214.85	$328.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.44 / $148.44 / $148.44	Professional		$148.44	$148.44	$148.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.59 / $214.85 / $328.63	Facility		$162.59	$214.85	$328.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.44 / $148.44 / $309.39	Professional		$148.44	$148.44	$309.39
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.88 / $246.85 / $369.37	Professional		$184.88	$246.85	$369.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $115.61 / $156.07	Professional		$115.61	$115.61	$156.07