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 $241.82 / $352.07 / $403.03	Professional		$241.82	$352.07	$403.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $637.30 / $1,253.44 / $1,434.12	Facility		$637.30	$1,253.44	$1,434.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,008.70 / $2,054.08 / $2,313.15	Professional		$2,008.70	$2,054.08	$2,313.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $264.99 / $352.07 / $538.52	Facility		$264.99	$352.07	$538.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.69 / $257.69 / $257.69	Professional		$257.69	$257.69	$257.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $264.99 / $352.07 / $538.52	Facility		$264.99	$352.07	$538.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.69 / $257.69 / $535.90	Professional		$257.69	$257.69	$535.90
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,108.00 / $2,827.00	Facility		$161.00	$1,108.00	$2,827.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.41 / $426.94 / $650.65	Professional		$319.41	$426.94	$650.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.36 / $176.36 / $238.09	Professional		$176.36	$176.36	$238.09