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 $318.62 / $374.24 / $513.55	Professional		$318.62	$374.24	$513.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,871.04 / $13,878.45 / $13,878.45	Facility		$1,871.04	$13,878.45	$13,878.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.71 / $2,836.88 / $3,127.05	Professional		$2,398.71	$2,836.88	$3,127.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $307.22 / $374.24 / $626.91	Facility		$307.22	$374.24	$626.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $317.85 / $5,478.00 / $9,074.00	Professional		$317.85	$5,478.00	$9,074.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.22 / $374.24 / $670.59	Facility		$307.22	$374.24	$670.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.63 / $238.82 / $501.47	Professional		$202.63	$238.82	$501.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,566.00 / $13,237.00	Facility		$2,093.00	$6,566.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.84 / $299.89 / $464.55	Professional		$225.84	$299.89	$464.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $988.82 / $988.82 / $1,334.91	Professional		$988.82	$988.82	$1,334.91