Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,893.00	Facility		$969.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,241.72 / $1,814.99 / $2,457.79	Professional		$1,241.72	$1,814.99	$2,457.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,314.00 / $11,662.00 / $20,280.00	Facility		$9,314.00	$11,662.00	$20,280.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,416.96 / $32,327.68 / $33,262.40	Facility		$26,416.96	$32,327.68	$33,262.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,703.36 / $13,067.20 / $15,222.38	Professional		$12,703.36	$13,067.20	$15,222.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,469.18 / $1,814.99 / $3,698.85	Facility		$1,469.18	$1,814.99	$3,698.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,459.27 / $1,459.27 / $1,683.02	Professional		$1,459.27	$1,459.27	$1,683.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.83 / $2,041.61 / $13,036.00	Facility		$1,479.83	$2,041.61	$13,036.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,721.12 / $2,851.36 / $3,354.54	Professional		$1,721.12	$2,851.36	$3,354.54
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,553.46 / $2,060.73 / $3,230.15	Professional		$1,553.46	$2,060.73	$3,230.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,459.27 / $1,876.64 / $1,994.31	Professional		$1,459.27	$1,876.64	$1,994.31