Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $602.56	Professional		$316.23	$478.63	$602.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87,096.36 / $87,096.36 / $87,096.36	Facility		$87,096.36	$87,096.36	$87,096.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $4,365.16	Professional		$3,715.35	$4,365.16	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,089.30 / $7,943.28	Facility		$501.19	$2,089.30	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $4,570.88	Professional		$398.11	$489.78	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $588.84 / $1,071.52	Facility		$407.38	$588.84	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $21,379.62 / $45,708.82	Facility		$7,585.78	$21,379.62	$45,708.82
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $870.96	Professional		$416.87	$549.54	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81