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 $223.83 / $342.93 / $394.10	Professional		$223.83	$342.93	$394.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,683.75 / $41,872.44 / $41,872.44	Facility		$1,683.75	$41,872.44	$41,872.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,590.40 / $2,665.20 / $3,104.25	Professional		$2,590.40	$2,665.20	$3,104.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $314.95 / $357.11 / $698.84	Facility		$314.95	$357.11	$698.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.95 / $343.24 / $13,222.00	Professional		$314.95	$343.24	$13,222.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.64 / $357.11 / $698.84	Facility		$320.64	$357.11	$698.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.24 / $343.24 / $343.24	Professional		$343.24	$343.24	$343.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.97 / $373.96 / $577.92	Professional		$271.97	$373.96	$577.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $314.95 / $434.40 / $450.58	Professional		$314.95	$434.40	$450.58