Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $10,893.00	Facility		$732.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.76 / $323.55 / $361.33	Professional		$281.76	$323.55	$361.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $709.80 / $1,447.20 / $1,577.95	Facility		$709.80	$1,447.20	$1,577.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,261.84 / $2,326.96 / $2,709.83	Professional		$2,261.84	$2,326.96	$2,709.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $311.02 / $363.97 / $918.36	Facility		$311.02	$363.97	$918.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $299.68 / $299.68 / $299.68	Professional		$299.68	$299.68	$299.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.02 / $389.58 / $918.36	Facility		$311.02	$389.58	$918.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.68 / $299.68 / $299.68	Professional		$299.68	$299.68	$299.68
United Facility/Professional Professional Modifier Low / Median / High Price $273.83 / $379.52 / $602.28	Professional		$273.83	$379.52	$602.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $370.86 / $370.86 / $500.66	Professional		$370.86	$370.86	$500.66