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 $285.30 / $327.27 / $365.82	Professional		$285.30	$327.27	$365.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $718.79 / $1,465.35 / $1,597.81	Facility		$718.79	$1,465.35	$1,597.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.40 / $2,357.76 / $2,743.73	Professional		$2,290.40	$2,357.76	$2,743.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $314.61 / $368.16 / $928.95	Facility		$314.61	$368.16	$928.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $303.43 / $303.43 / $303.43	Professional		$303.43	$303.43	$303.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.61 / $394.46 / $928.95	Facility		$314.61	$394.46	$928.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.43 / $303.43 / $303.43	Professional		$303.43	$303.43	$303.43
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 $279.48 / $384.29 / $609.84	Professional		$279.48	$384.29	$609.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $357.98 / $357.98 / $483.27	Professional		$357.98	$357.98	$483.27