Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,620.00 / $12,281.00	Facility		$921.00	$3,620.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.88 / $486.84 / $603.12	Professional		$317.88	$486.84	$603.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,394.10 / $87,953.00 / $87,953.00	Facility		$2,394.10	$87,953.00	$87,953.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,683.44 / $3,788.88 / $4,413.83	Professional		$3,683.44	$3,788.88	$4,413.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.99 / $530.38 / $992.14	Facility		$467.99	$530.38	$992.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $482.16 / $488.07 / $15,626.00	Professional		$482.16	$488.07	$15,626.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.99 / $528.82 / $992.14	Facility		$467.99	$528.82	$992.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $488.07 / $488.07 / $488.07	Professional		$488.07	$488.07	$488.07
United Facility/Professional Facility Modifier Low / Median / High Price $7,503.00 / $19,002.00 / $40,083.00	Facility		$7,503.00	$19,002.00	$40,083.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.75 / $544.91 / $868.81	Professional		$415.75	$544.91	$868.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $482.16 / $575.12 / $663.44	Professional		$482.16	$575.12	$663.44